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Patricia Guadalupe Johnson
Professional Counselor in Portland, Oregon
NPI 1629718127

Patricia Guadalupe Johnson is a Professional Counselor based in Portland, OR and is specialized in Professional. Patricia Guadalupe Johnson practices in Portland, OR. The NPI Number for Patricia Guadalupe Johnson is 1629718127 and holds a License No. (Oregon).

The current practice location address for Patricia Guadalupe Johnson is 1110 Se Alder St Ste 301, Portland, OR and can be reached out via phone at 503-922-3360.

Location: 1110 Se Alder St Ste 301, Portland, OR, 97216-3043
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Provider Profile Details
NPI Number
1629718127
Provider Name
Patricia Guadalupe Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1110 Se Alder St Ste 301, Portland, OR, 97216-3043
Phone Number
503-922-3360
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05 05 OR
institution
Provider Business Practice Location Address Details
Address
1110 Se Alder St Ste 301
City
State
Zip
97214-2400
Phone Number
503-922-3360
Fax Number
person
Provider Business Mailing Address Details
Address
1110 Se Alder St Ste 301
City
State
Zip
97214-2400
Phone Number
503-922-3360
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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