Individual
HELEN KATHLEEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 W RIVERSIDE DR, ROSEBURG, OR 97470-3066
(541) 672-1440
Mailing address
318 W RIVERSIDE DR, ROSEBURG, OR 97470-3066
(541) 672-1440
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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