Agita Johnson
Agita Johnson is a Peer Specialist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2022.
- Licensed in
- OR
- In the registry since
- 2022
Practice location Address checks out
709 NW Everett StPortland, OR 97209-3517
Phone: (503) 226-4060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence THW106595 (OR) |
|---|
Record details
| NPI number | 1528703923 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 29, 2022 |
| Last updated in NPPES | April 29, 2022 |
| Certification date | April 29, 2022 |
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