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1962755801
AMELIA H JOHNSON
PORTLAND, OR
NPI
1962755801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA159647)
Enumeration Date
2012-10-16
Last Update Date
2019-12-11
Business Address
AMELIA H JOHNSON PA-C
300 N GRAHAM ST STE 125
PORTLAND, OR 97227-1683
Phone number: 503-528-0704
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Mailing Address
AMELIA H JOHNSON PA-C
134 W CHRISFIELD DR
MERIDIAN, ID 83646-3255
Phone number: 541-232-1314
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