Individual
LAUREN ALYSE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
450109
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-CRNA10022073
OR
Other
Enumeration date
03/06/2024
Last updated
01/27/2025
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