Individual
JONA ARIELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.B.A.
Contact information
Practice address
11086 SE OAK ST, MILWAUKIE, OR 97222-6692
(503) 656-4221
(503) 656-4249
Mailing address
PO BOX 22009, PORTLAND, OR 97269-2009
(503) 558-7372
(503) 344-5140
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3661ATI
OR
Other
Enumeration date
04/03/2015
Last updated
01/10/2025
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