Johnson, Connie R

Johnson, Connie R is an sole proprietor health care provider with primary practice located at 182 Sw Academy St , Dallas OR 97338-1996. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Johnson, Connie R can be contacted via phone (503) 623-9289.

Contact Information

Primary practice address
182 Sw Academy St Dallas OR 97338-1996
Phone: (503) 623-9289
Fax: (503) 831-1726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1952999716
LBN Legal business name Johnson, Connie R
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2021
Last updated Jan 8th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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