MR. FREDERICK JOHNSON III, L.M.T.
Community Health Worker
Active
Individual
NPI: 1164794202
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | No | 18101 (OR) |
| Community Health Worker | 172V00000X | Yes | 18101 (OR) |
Frequently Asked Questions
NPI 1164794202 is the National Provider Identifier for MR. FREDERICK JOHNSON III, L.M.T., a Community Health Worker provider located in Portland, OR. This NPI was enumerated on February 6, 2012.
MR. FREDERICK JOHNSON III, L.M.T. practices at 334 NE IRVING AVENUE, Portland, OR 97702.
Quick Facts
- NPI
- 1164794202
- Type
- Individual
- Enumerated
- Feb 6, 2012
- Last Updated
- Feb 6, 2012
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