Individual
KRISTOFFER SCOTT JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
740 NW HILL AVE, ROSEBURG, OR 97470-1672
(541) 672-1631
Mailing address
550 S STATE ST UNIT 67, SUTHERLIN, OR 97479-8503
(541) 459-2421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12653
OR
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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