NPI 1013204874

Jeannette Kathleen Johnson

Practitioner Pharmacist Tigard, OR

Practice location

Address: 9009 SW Hall Blvd, Tigard, OR 97223-4432
Phone: (503) 639-3446
Fax: (503) 639-3446

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0008772 (OR)

Other Pharmacist providers in Oregon →

Registry record

NPI: 1013204874
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2011
Record last updated: 30 Jun 2011

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.