NPI 1770009912
Daniel Malcolm Johnson
Practice location
- Address
- 6201 NW Friberg Strunk St, Camas, WA 98607-7697
- Phone
- (360) 604-6250
- Mailing address
- 3609 NE 65th Ave, Portland, OR 97213-4419
Registered specialties
Speech-Language Pathologist
Primary
Registry record
- NPI
- 1770009912
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 18 Aug 2017
- Record last updated
- 18 Aug 2017
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.