Individual
MELANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
14300 NE 20TH AVE, D 102-265, VANCOUVER, WA 98686-6420
(360) 576-6354
Mailing address
14300 NE 20TH AVE, D 102-265, VANCOUVER, WA 98686-6420
(360) 576-6354
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00004432
WA
124Q00000X
Dental Hygienist
H2590
OR
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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