Loretta Eileen Johnson

NPI #1780104737 in Gresham, Oregon

Provider Information

NPI Number
1780104737
Entity Type
Individual
Name
Loretta Eileen Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dental Hygienist
Enumeration Date
Jun 21, 2017
Last Updated
Jul 21, 2022

Practice Location

Address
4077 NE 2ND ST
State
Oregon
ZIP Code
97030-1711
Phone
(503) 780-1510

Specialties & Taxonomy Codes

Specialty
Dental Hygienist

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