Individual
DEAN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
310 NW 5TH ST STE 201, CORVALLIS, OR 97330-4895
(541) 753-5152
Mailing address
310 NW 5TH ST STE 201, CORVALLIS, OR 97330-4895
(541) 753-5152
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00191
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC00191
ACUPUNCTURE LICENSE
OR
Enumeration date
10/26/2020
Last updated
10/26/2020
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