Johnson, Eric Mitchell
Johnson, Eric Mitchell is an sole proprietor health care provider with primary practice located at 1942 Nw Kearney St Ste 21 , Portland OR 97209-1463. He recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as his primary health care specialty. Johnson, Eric Mitchell can be contacted via phone (503) 274-4017.Contact Information
Primary practice address
1942 Nw Kearney St Ste 21
Portland OR 97209-1463
Phone: (503) 274-4017
Fax: (503) 274-2808
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 633 | Oregon |
Profile Details
NPI number | 1790813079 |
---|---|
LBN Legal business name | Johnson, Eric Mitchell |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 1st, 2007 |
Last updated | Jul 8th, 2007 - about 18 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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