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1710004239
LISA C JOHNSON
BEAVERTON, OR
NPI
1710004239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3017)
Enumeration Date
2007-03-22
Last Update Date
2018-03-17
Business Address
LISA C JOHNSON MSW, LCSW
4900 SW GRIFFITH DR
BEAVERTON, OR 97005-5607
Phone number: 503-716-8295
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Mailing Address
LISA C JOHNSON MSW, LCSW
5908 SW 45TH AVE
PORTLAND, OR 97221-3473
Phone number: 503-716-8295
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