person
Mr. Keith D Johnson, MAED
Pastoral Counselor in Portland, Oregon
NPI 1417210675

Keith D Johnson is a Pastoral Counselor based in Portland, OR and is specialized in Pastoral. Keith D Johnson practices in Portland, OR and has the professional credentials of MAED. The NPI Number for Keith D Johnson is 1417210675 and holds a License No. (Oregon).

The current practice location address for Keith D Johnson is 3415 Se Powell Blvd, Portland, OR and can be reached out via phone at 503-445-0436. You can also correspond with Keith D Johnson through the mailing address at 3415 SE POWELL BLVD, PORTLAND, OR - 97202-3371 (mailing address contact number: ).

Location: 3415 Se Powell Blvd, Portland, OR, 97202-3371
person
Provider Profile Details
NPI Number
1417210675
Provider Name
Keith D Johnson
Credential
MAED
Provider Entity Type
Individual
Gender
Male
Address
3415 Se Powell Blvd, Portland, OR, 97202-3371
Phone Number
503-445-0436
Fax Number
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
503-445-0436
Fax Number
person
Provider Business Mailing Address Details
Address
3415 Se Powell Blvd
City
State
Zip
97202-3371
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Pastoral
Taxonomy
License No.
()
Definition
Definition to come...
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