NPI 1215296595

Bethany Carmela Johnson

Practitioner Dental Assistant Salem, OR

Practice location

Address: 2300 Lancaster Dr NE, Salem, OR 97305-1223
Phone: (503) 370-4313

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

Other Dental Assistant providers in Oregon →

Registry record

NPI: 1215296595
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2012
Record last updated: 8 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.