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1922887504
ELLIE JOHNSON
PORTLAND, OR
NPI
1922887504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-25
Last Update Date
2023-09-25
Business Address
ELLIE JOHNSON
3455 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-3076
Phone number: 503-494-8311
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Mailing Address
ELLIE JOHNSON
2926 SW 4TH AVE APT 101
PORTLAND, OR 97201-4932
Phone number: 925-872-3484
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