Individual
MRS. JUDITH HELEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
182 SW ACADEMY ST, SUITE 302, DALLAS, OR 97338-1922
(503) 623-1875
(503) 831-3499
Mailing address
1237 SE BARBERRY AVE, DALLAS, OR 97338-1630
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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