Mr. LARRY JOHN JOHNSON CADC 1 ⚕️ Oregon 1992196687

NPI	1992196687
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 14-P-12)
Enumeration Date	2015-02-17
Last Update Date	2015-02-17

Mr. LARRY JOHN JOHNSON CADC 1

720 SE WASHINGTON ST.

HILLSBORO, OR 97123

Phone number: 503-648-0753

Mr. LARRY JOHN JOHNSON CADC 1

1027 E. BURNSIDE ST.

PORTLAND, OR 97214

Phone number: 503-239-8400