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NPI Code Detail

MEDICARE: ERIN JOHNSON

MEDICARE: ERIN JOHNSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerA15831OR

General Provider Information

NPI Number : 1912713850
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN JOHNSON
Provider Business Mailing Address
First Line : 239 NE LINCOLN ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-3066
Country : US
Telephone Number : 971-238-4408
Fax Number :
Provider Business Practice Location Address
First Line : 239 NE LINCOLN ST
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-3066
Country : US
Telephone Number : 971-238-4408
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2024
Last Update Date : 12/05/2024

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Directions to “ ERIN JOHNSON ” Practice Location

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