LARRY JOHN JOHNSON

HILLSBORO, OR
NPI1992196687
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   14-P-12)
Enumeration Date2015-02-17
Last Update Date2015-02-17
Business Address
Mr. LARRY JOHN JOHNSON CADC 1
720 SE WASHINGTON ST.
HILLSBORO, OR 97123
Phone number: 503-648-0753
Mailing Address
Mr. LARRY JOHN JOHNSON CADC 1
1027 E. BURNSIDE ST.
PORTLAND, OR 97214
Phone number: 503-239-8400
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