Johnson, Clark Mitchell
Johnson, Clark Mitchell is an individual health care provider with primary practice located at 58646 Mcnulty Way , Saint Helens OR 97051-6210. 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, Clark Mitchell can be contacted via phone (503) 397-5211.Contact Information
Primary practice address
58646 Mcnulty Way
Saint Helens OR 97051-6210
Phone: (503) 397-5211
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 101YAO4OOX | Oregon |
Profile Details
| NPI number | 1720278310 |
|---|---|
| LBN Legal business name | Johnson, Clark Mitchell |
| Credentials | B.S. CADC II |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Jul 30th, 2007 - about 17 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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