Whalio Doctors

NPI 1497578876

Shynar Johnson, PAC

Practitioner Physician Assistant Reedsport, OR

Practice location

Address
620 Ranch Rd, Reedsport, OR 97467-1796
Phone
(541) 271-2163
Fax
(541) 271-4058
Mailing address
600 Ranch Rd, Reedsport, OR 97467-1795

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA228188 (OR)

Registry record

NPI
1497578876
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Nov 2024
Record last updated
2 Jul 2026

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.