Individual
SARA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CES
Contact information
Practice address
68830 CHESTNUT DR, SISTERS, OR 97759-9601
(503) 939-9103
Mailing address
68830 CHESTNUT DR, SISTERS, OR 97759-9601
(503) 939-9103
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
06/05/2025
Last updated
06/13/2025
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