Individual
SHEILA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
15885 SW SPRINGTOOTH LN, SHERWOOD, OR 97140
(760) 214-2575
Mailing address
15885 SW SPRINGTOOTH LN, SHERWOOD, OR 97140-8835
(760) 214-2575
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22097
OR
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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