Whalio Doctors

NPI 1417529272

Kelly Lynn Johnson, CPT

Practitioner Pharmacy Technician Springfield, OR

Practice location

Address
2130 Marcola Rd, Springfield, OR 97477-2592
Phone
(541) 747-3362
Fax
(541) 741-2287
Mailing address
4930 Daisy St, Springfield, OR 97478-6797

Registered specialties

Pharmacy Technician Primary
Pharmacy Service Providers Taxonomy 183700000X Licence CPT-002894 (OR)

Registry record

NPI
1417529272
Entity type
Individual
Sex (as registered)
Female
NPI issued
12 Jul 2021
Record last updated
12 Jul 2021

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.