Becky Ann Johnson, LD
NPI #1508426156 in Grand Ronde, Oregon
Provider Information
- NPI Number
- 1508426156
- Entity Type
- Individual
- Name
- Becky Ann Johnson, LD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- LD
- Enumeration Date
- Jun 17, 2019
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 9605 GRAND RONDE RD
- City
- Grand Ronde
- State
- Oregon
- ZIP Code
- 97347-9712
- Phone
- (503) 879-1396
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
| Dietitian, Registered |
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