Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1011 VALLEY RIVER WAY # 106, EUGENE, OR 97401-2127
(541) 344-3689
Mailing address
1011 VALLEY RIVER WAY # 106, EUGENE, OR 97401-2127
(541) 344-3689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13925
OR
Other
Enumeration date
05/10/2008
Last updated
05/10/2008
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