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MR. WILLIAM J JOHNSON FNP

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1982666129

Individual Registrant:
MR. WILLIAM J JOHNSON FNP
Gender: M

Location and contact information for practice:
111 SOUTH MILLER SUITE C E F ROCKAWAY BEACH, OR 97136 US
Tel: 503-355-2700  Fax: 503-355-2702

Contact information for business:
PO BOX 489  TILLAMOOK, OR 97141 US
Tel: 503-842-3900  Fax: 503-842-3903

Registration Information:
NPI: 1982666129
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X163W00000XNursing Service Providers
Registered Nurse
OR
X363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
OR

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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