Individual
PAMELA KAY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
935 W ORCHARD AVE, HERMISTON, OR 97838-1536
(541) 667-2555
(541) 564-4599
Mailing address
935 W ORCHARD AVE, HERMISTON, OR 97838-1536
(541) 667-2555
(541) 564-4599
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
273297
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825702000
BLUE CROSS BLUE SHIELD
OR
Enumeration date
08/08/2006
Last updated
03/22/2011
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