Kelsey Lee Johnson

NPI #1063399426 in Beaverton, Oregon

Provider Information

NPI Number: 1063399426
Entity Type: Individual
Name: Kelsey Lee Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician
Enumeration Date: Aug 18, 2025
Last Updated: Aug 18, 2025

Practice Location

Address: 1975 NW 167TH PL # 53
City: Beaverton
State: Oregon
ZIP Code: 97006-4908
Phone: (503) 730-2973

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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