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Individual

MR. BRANDON K JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 296-7202
(541) 298-8008
Mailing address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 296-7202
(541) 298-8008

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
287107
OR

Other

Enumeration date
12/05/2011
Last updated
04/29/2016
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