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1811261662
MARK JOHNSON
PORTLAND, OR
NPI
1811261662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 6531)
Enumeration Date
2012-02-25
Last Update Date
2017-09-26
Business Address
-- MARK JOHNSON DPT
3303 SW BOND AVE FL 1
PORTLAND, OR 97239-4501
Phone number: 503-494-3151
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Mailing Address
-- MARK JOHNSON DPT
PO BOX 80792
PORTLAND, OR 97280-5165
Phone number: 503-494-3151
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