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1609914704
LORENZO JOHNSON
PORTLAND, OR
NPI
1609914704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
372600000X Adult Companion
Enumeration Date
2007-02-01
Last Update Date
2008-04-23
Business Address
Mr. LORENZO JOHNSON BS QMHA
8453 SW 30TH AVE
PORTLAND, OR 97219-8800
Phone number: 503-283-3763
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Mailing Address
Mr. LORENZO JOHNSON BS QMHA
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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