Individual
ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1270 KOT-NUM ROAD, WARM SPRINGS, OR 97761
(541) 553-1196
Mailing address
PO BOX 359, WARM SPRINGS, OR 97761-0359
(541) 553-1196
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200640270RN
OR
Other
Enumeration date
04/25/2013
Last updated
04/25/2013
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