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Contact Information

NANCY A JOHNSON, CCMA
3975 MIDWAY DRIVE
BAKER CITY, OR97814
 Phone: 541-524-9070
 Fax: 541-524-9077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for NANCY A JOHNSON · (Female)

NPI Number 1841779741
Status Active
Credentials CCMA
Entity Individual
Enumeration date 08/10/2018
Last updated 08/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # L7K4S5N7
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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