NPI 1043365919
Heidi Vanessa Johnson
Practice location
- Address
- 10209 SE Sunnyside Rd, Clackamas, OR 97015-9782
- Phone
- (503) 353-3900
- Mailing address
- PO Box 67183, Portland, OR 97268-1183
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1043365919
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 Jan 2007
- Record last updated
- 8 Jul 2007
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.