Individual
NOELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 SE 19TH ST, WARRENTON, OR 97146-9577
(503) 325-5722
Mailing address
65 N HIGHWAY 101 STE 204, WARRENTON, OR 97146-9371
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10012873
OR
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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