Individual
MRS. KUUIPO K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
759 27TH AVE, SWEET HOME, OR 97386-2994
(541) 367-8507
Mailing address
759 27TH AVE, SWEET HOME, OR 97386-2994
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200540143RN
OR
Other
Enumeration date
11/07/2008
Last updated
07/22/2016
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