Johnson, Larry John
Johnson, Larry John is an individual health care provider with primary practice located at 720 Se Washington St. , Hillsboro OR 97123. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Johnson, Larry John can be contacted via phone (503) 648-0753.Contact Information
Primary practice address
720 Se Washington St.
Hillsboro OR 97123
Phone: (503) 648-0753
Fax: (503) 648-0755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 14-P-12 |
Profile Details
| NPI number | 1992196687 |
|---|---|
| LBN Legal business name | Johnson, Larry John |
| Credentials | CADC 1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2015 |
| Last updated | Feb 17th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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