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General NPI Number Information
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NPI Number | 1780038109
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Entity Type | Organization
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Legal Business Name | JANICE M. JOHNSON COUNSELING
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Dates
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Enumeration Date | 04/21/2016
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Last Update Date | 04/21/2016
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Provider Practice Location Address
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Address Line | 40 MCNARY PKWY
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-1214
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Country | US
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Telephone | 503-329-3367
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Fax |
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Provider Business Mailing Address
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Address Line | 9715 SW QUAIL POST RD
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City | PORTLAND
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State | OR
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Zip | 97219-6363
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Country | US
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Telephone | 503-329-3367
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | JANICE M JOHNSON
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Credential | LPC
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Telephone | 503-329-3367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C3813
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License Number State | OR
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