Individual
KIMBER LEIGH JOHNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 ADAMS AVE, COTTAGE GROVE, OR 97424-2160
(541) 767-5119
Mailing address
455 ADAMS AVE, COTTAGE GROVE, OR 97424-2160
(541) 767-5119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
82091
OR
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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