Individual
MS. KRISTINA ANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7412
Mailing address
2901 SW INDIAN CIR, REDMOND, OR 97756-5512
(541) 322-7412
(541) 322-7618
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
40324RN
OR
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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