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1780025890
KIRSTEN R. JOHANSSON
PORTLAND, OR
NPI
1780025890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: OR 201350125NP)
Enumeration Date
2013-07-17
Last Update Date
2015-07-17
Business Address
MS. KIRSTEN R. JOHANSSON NP, FNP
3181 SW SAM JACKSON PARK RD MAIL CODE 5170/L603
PORTLAND, OR 97239-3011
Phone number: 503-524-0332
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Mailing Address
MS. KIRSTEN R. JOHANSSON NP, FNP
3181 SW SAM JACKSON PARK RD MAIL CODE 5170/L603
PORTLAND, OR 97239-3011
Phone number: 503-524-0332
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