Kyle Gregory Johansen
Kyle Gregory Johansen is a Peer Specialist in McMinnville, Oregon. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
213 NE 10th StMcMinnville, OR 97128-4825
Phone: (971) 261-2259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X |
|---|
Record details
| NPI number | 1548932130 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2021 |
| Last updated in NPPES | October 1, 2021 |
| Certification date | October 1, 2021 |
| Mailing address | 627 Ne Evans St, McMinnville, OR 97128-3923 |
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Richard Wayne Inman
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Deborah Janke
213 NE 10th St, McMinnville, OR 97128-4825 · (971) 261-2254
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Cindy Johnson
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Amber Jones
213 NE 10th St, McMinnville, OR 97128-4825 · (971) 261-2259
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Nickcole Kristine Jordan
213 NE 10th St, McMinnville, OR 97128-4825 · (971) 261-2254
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Katherine Juarez
213 NE 10th St, McMinnville, OR 97128-4825 · (971) 228-2020