Johnson, Jodi Lynn
Johnson, Jodi Lynn is an sole proprietor health care provider with primary practice located at 8495 Crater Lake Hwy , White City OR 97503-3011. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Johnson, Jodi Lynn can be contacted via phone (541) 826-2111.Contact Information
Primary practice address
8495 Crater Lake Hwy
White City OR 97503-3011
Phone: (541) 826-2111
Fax: (541) 830-7557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3266 | Oregon |
Profile Details
| NPI number | 1508232893 |
|---|---|
| LBN Legal business name | Johnson, Jodi Lynn |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2015 |
| Last updated | Mar 22nd, 2022 - about 2 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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