Individual
AMANDA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 524-7720
Mailing address
18472 W CAMPBELL LOOP, BAKER CITY, OR 97814-8412
(509) 998-8607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016664
OR
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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