Individual
EMILY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
Mailing address
348 W ADAMS ST, BURNS, OR 97720-1710
(541) 573-8376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201141316RN
OR
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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