Individual
ISRAEL SYNCLAIR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPM
Contact information
Practice address
2314 NW KINGS BLVD, CORVALLIS, OR 97330-3925
(859) 625-4116
Mailing address
3240 NW ELMWOOD DR, CORVALLIS, OR 97330-1104
(859) 625-4116
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
4035403
KY
176B00000X
Midwife
Primary
DEM-LD-10258947
OR
Other
Enumeration date
06/29/2021
Last updated
01/15/2026
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