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1992430201
PHILLIP JOHNSON
PORTLAND, OR
NPI
1992430201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-07-20
Last Update Date
2025-05-14
Business Address
PHILLIP JOHNSON
10615 SE CHERRY BLOSSOM DR STE 250
PORTLAND, OR 97216-3103
Phone number: 971-373-4041
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Mailing Address
PHILLIP JOHNSON
8383 NE SANDY BLVD STE 440
PORTLAND, OR 97220-4986
Phone number: 971-373-4041
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