Amanda Johnson

NPI #1730801127 in Lakeview, Oregon

Provider Information

NPI Number
1730801127
Entity Type
Individual
Name
Amanda Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 13, 2022
Last Updated
Sep 5, 2025

Practice Location

Address
1810 N 4TH ST
State
Oregon
ZIP Code
97630-1003
Phone
(541) 600-2535

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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