ANTHONY DARNELL JOHNSON

PORTLAND, OR
NPI1831887959
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: OR  THW108135)
Enumeration Date2023-04-26
Last Update Date2023-04-26
Business Address
ANTHONY DARNELL JOHNSON
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
Mailing Address
ANTHONY DARNELL JOHNSON
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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