Individual
DANA M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
464 NE NORTON AVE, BEND, OR 97701-4387
(541) 318-6961
Mailing address
19485 KEMPLE DR, BEND, OR 97702-1911
(541) 312-2161
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
DEMLM10142140
OR
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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