Kendall M Johnson

NPI #1083356505 in Bend, Oregon

Provider Information

NPI Number: 1083356505
Entity Type: Individual
Name: Kendall M Johnson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Apr 13, 2022
Last Updated: Apr 13, 2022

Practice Location

Address: 2065 NE TUCSON WAY APT 110
City: Bend
State: Oregon
ZIP Code: 97701-5182
Phone: (541) 383-3005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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