Individual
MS. CASSANDRA ALAINE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1166 E 28TH AVE, EUGENE, OR 97403-1615
(541) 345-0534
(541) 345-8886
Mailing address
3230 PHEASANT BLVD, SPRINGFIELD, OR 97477-7539
(541) 852-6898
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201407303LPN
OR
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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