Kortnie Johnson, SDH

NPI #1861102873 in Sherwood, Oregon

Provider Information

NPI Number: 1861102873
Entity Type: Individual
Name: Kortnie Johnson, SDH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: SDH
Enumeration Date: Nov 30, 2022
Last Updated: Nov 30, 2022

Practice Location

Address: 17030 SW ROCKY RAMBLE LN
City: Sherwood
State: Oregon
ZIP Code: 97140-9215
Phone: (503) 928-0445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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