Individual
MRS. KAREN ELAINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 286-6868
Mailing address
1744 NE 143RD AVE, PORTLAND, OR 97230-4112
(503) 253-5190
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H1067
OR
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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