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1730951351
ELYSE WALKER JOHANSEN
PORTLAND, OR
NPI
1730951351
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-10-26
Last Update Date
2023-10-26
Business Address
ELYSE WALKER JOHANSEN
8924 N FISKE AVE
PORTLAND, OR 97203-3575
Phone number: 503-559-4956
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Mailing Address
ELYSE WALKER JOHANSEN
8924 N FISKE AVE
PORTLAND, OR 97203-3575
Phone number: 503-559-4956
Copy
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