Individual
HILLERY NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
437 NE POPLAR LN, REDMOND, OR 97756-6920
(619) 756-5373
Mailing address
437 NE POPLAR LN, REDMOND, OR 97756-6920
(619) 756-5373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
202009369NP-PP
OR
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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