Individual
RASHELLE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2457 NE BOBBI PL, PRINEVILLE, OR 97754-9089
(541) 480-7040
Mailing address
2457 NE BOBBI PL, PRINEVILLE, OR 97754-9089
(541) 480-7040
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
07463
OR
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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