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1811710254
CHAD JOHNSON
SALEM, OR
NPI
1811710254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: OR 24-CRM-3422)
Enumeration Date
2024-11-04
Last Update Date
2024-11-04
Business Address
CHAD JOHNSON
565 UNION ST NE STE 105
SALEM, OR 97301-2416
Phone number: 503-363-2021
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Mailing Address
CHAD JOHNSON
PO BOX 17818
SALEM, OR 97305-7818
Phone number: 503-363-2021
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