REGAN LYNN JOHNSON

PORTLAND, OR
NPI1770001638
Former NameREGAN LYNN SHATTUCK-SMALLWOOD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-08-31
Last Update Date2017-08-31
Business Address
REGAN LYNN JOHNSON
10232 SE ANKENY ST APT C205
PORTLAND, OR 97216-4617
Phone number: 541-731-4123
Mailing Address
REGAN LYNN JOHNSON
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 503-501-5322
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