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Contact Information

DUAN JOHNSON JR
1411 SW MORRISON ST STE 310
PORTLAND, OR97205-1945
 Phone: 503-352-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DUAN JOHNSON JR · (Male)

NPI Number 1215785738
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2024
Last updated 05/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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