Individual
LYNN E JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2101 MAIN ST, SUITE 204, BAKER CITY, OR 97814-2621
(541) 524-0800
(541) 524-0800
Mailing address
PO BOX 1298, THE DALLES, OR 97058-9298
(509) 493-1467
(509) 493-3765
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L2571
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105997
VALUE OPTIONS
OR
01
—
278888
MANAGED HEALTH NETWORK
OR
01
—
808073000
REGENCE BCBSO
OR
01
—
YA60301
PACIFIC SOURCE
OR
Enumeration date
02/15/2007
Last updated
07/08/2007
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