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Individual

LISA MARIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2275 COMMERCIAL ST, ASTORIA, OR 97103-3327
(503) 325-8315
(503) 338-4198
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10031852
OR
363LF0000X
Family Nurse Practitioner
Primary
APN.0993584-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000155505
CO
01
APN.0993584-NP
APRN STATE LICENSE
CO
Enumeration date
12/05/2017
Last updated
02/25/2026
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