Individual
EUNICE AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
70363 KUNZE LANE, BOARDMAN, OR 97818
(541) 481-3233
(541) 481-3234
Mailing address
PO BOX 469, HEPPNER, OR 97836-0469
(541) 676-9161
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
201241643RN
OR
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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