Benjamin Wayne Johnson, CNA

NPI #1053892653 in Clackamas, Oregon

Provider Information

NPI Number: 1053892653
Entity Type: Individual
Name: Benjamin Wayne Johnson, CNA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: CNA
Enumeration Date: Aug 22, 2018
Last Updated: Aug 22, 2018

Practice Location

Address: 12901 SE 97TH AVE STE 180
City: Clackamas
State: Oregon
ZIP Code: 97015-7903
Phone: (971) 206-6337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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