Individual
ERICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
801 PACIFIC AVE, TILLAMOOK, OR 97141
(503) 842-3900
Mailing address
PO BOX 489, TILLAMOOK, OR 97141-0489
(503) 842-3900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1003747
—
133V00000X
Registered Dietitian
LD-D-10144495
OR
Other
Enumeration date
08/11/2011
Last updated
01/16/2019
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