AUTRY JOHNSON

PORTLAND, OR
NPI1669333639
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2025-11-19
Last Update Date2026-02-10
Business Address
AUTRY JOHNSON
905 SE 14TH AVE
PORTLAND, OR 97214-2569
Phone number: 503-622-8964
Mailing Address
AUTRY JOHNSON
905 SE 14TH AVE
PORTLAND, OR 97214-2569
Phone number: 503-622-8964
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