Dan Johnson
Social Worker in Corvallis, OR. Individual provider (NPI-1).
NPI number1154523843
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154523843
- Entity type
- Individual (NPI-1)
- Name
- Mr. Dan Johnson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 4, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 7007129 | OR | Yes |
Practice location
4455 Ne Highway 20Corvallis, OR 97330-9695
Phone 541-758-5900
Mailing address
475 Se Park AveCorvallis, OR 97333-2145
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All 228 Social Worker providers in Corvallis · All 4,542 providers in Corvallis
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