NPI 1003440827

Bo Johnson

Practitioner Athletic Trainer Monmouth, OR

Practice location

Address: 345 Monmouth Ave N, Monmouth, OR 97361-1329
Phone: (503) 838-8343
Mailing address: 427 Kestrel St N, Keizer, OR 97303-5311

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Oregon →

Registry record

NPI: 1003440827
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Mar 2020
Record last updated: 2 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.