Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK FARMAN JOHNSON III, L.M.T.
Active Sole ProprietorMR. FREDERICK FARMAN JOHNSON III, L.M.T. is a Community Health Worker healthcare provider located in PORTLAND, Oregon. NPI 1164794202 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · PORTLAND, OR
Registration Details
- NPI Number
- 1164794202
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 6, 2012 (14.538961172071 yrs)
- Last Updated
- Feb 6, 2012
- Licenses
-
18101 (OR)18101 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
334 NE IRVING AVENUEPORTLAND, OR, 97702Browse OR providers · Browse ZIP 97702
- Phone
- 5414194019
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| JACKIE LUCKETT | — | 1497925390 |
| LYNN MARIE BUKOWSKI | L.M.T. | 1689840456 |
| MR. MATTHEW GRAY | LMT | 1922243518 |
| CHRISTOPHER SCOTT GARY | PTA | 1932347168 |
| MS. FARLAND IDE JOHNSON | LMT | 1306072491 |
| WANDA PAULA FAYE GARFIAS | LMT | 1245566553 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.