DANIEL ROBERT JOHNSEN

PORTLAND, OR
NPI1730047655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: OR  113538)
Enumeration Date2026-01-10
Last Update Date2026-01-10
Business Address
DANIEL ROBERT JOHNSEN
12350 SE POWELL BLVD
PORTLAND, OR 97236-3432
Phone number: 503-477-2542
Mailing Address
DANIEL ROBERT JOHNSEN
4546 SE FRANKLIN ST
PORTLAND, OR 97206-3115
Phone number: 503-477-2542