Individual
MISS KRISTINE JUNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4115 SE HAGER LN, MILWAUKIE, OR 97267-2925
(503) 654-7115
Mailing address
14065 SE DOUGLAS FIR CT, MILWAUKIE, OR 97267-1525
(503) 653-1090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
095000661RN
OR
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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