Individual
CRYSTAL JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2222 COBURG RD STE 100, EUGENE, OR 97401-4988
(458) 210-2984
(458) 210-2985
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
202100581RN
OR
Other
Enumeration date
09/29/2010
Last updated
02/10/2021
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