Anjuli Shah-Johnson

NPI #1043677198 in Portland, Oregon

Provider Information

NPI Number: 1043677198
Entity Type: Organization
Organization Name: Anjuli Shah-Johnson
Primary Specialty: Clinic/Center - Adolescent and Children Mental Health
Enumeration Date: Jan 20, 2016
Last Updated: Jan 20, 2016

Practice Location

Address: 1611 NE 16TH AVE
City: Portland
State: Oregon
ZIP Code: 97232-1413
Phone: (773) 991-0103

Authorized Official

Name: ANJULI SHAH-JOHNSON
Title: OWNER/THERAPIST/BODYWORKER
Phone: (773) 991-0103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X	Primary

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