NPI 1063771137

Traci L Johnson, EFDA

Practitioner Dental Assistant Salem, OR

Practice location

Address: 2300 Lancaster Dr NE, Salem, OR 97305-1223
Phone: (503) 370-4843
Fax: (503) 375-5737

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1063771137
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 May 2012
Record last updated: 10 May 2012

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.