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Contact Information

DEBRA JOHNSON
4257 SW 42ND ST
REDMOND, OR97756-6977
 Phone: 541-224-8837
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Forensic

103TF0200X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DEBRA JOHNSON · (Female)

NPI Number 1639940711
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2024
Last updated 01/09/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 3606
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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