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Mountain Lake
Licensee/Applicant Lookup
Licensee/Applicant Detail - Verification of Licensure/Application Status

Information current as of: 05/16/2013
Query Time: 05/19/2013 01:51:31 pm

This site is a primary source for verification of license/applicant credentials and is updated daily.


License/Application Number 1581
First Name Patrick F
Last Name Johnson
Title Ph.D.
Address 3017 SW Fairview Blvd.
City Portland
State OR
Country U.S.A
Phone Number 503-313-5186
Status Active Psychologist
Date Licensed 11/14/2003
Expiration Date 7/31/2014
Proposed or Final Board Action No
Under Supervision No

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