Mura Johnson, Michelle Ann

Mura Johnson, Michelle Ann is an individual health care provider with primary practice located at 610 High Street , Oregon City OR 97045. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Mura Johnson, Michelle Ann can be contacted via phone (503) 657-8903.

Contact Information

Primary practice address
610 High Street Oregon City OR 97045
Phone: (503) 657-8903
Fax: (503) 650-4302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 983676 Oregon

Profile Details

NPI number 1336298397
LBN Legal business name Mura Johnson, Michelle Ann
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336298397 NPPES
Washington MEDICAID 8397937
Washington MEDICAID 071477

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