Johnson, Kelly Ann Marie
Johnson, Kelly Ann Marie is an individual health care provider with primary practice located at 330 W Powell Blvd , Gresham OR 97030-7051. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Johnson, Kelly Ann Marie can be contacted via phone (916) 968-6320.Contact Information
Primary practice address
330 W Powell Blvd
Gresham OR 97030-7051
Phone: (916) 968-6320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 445164 | Oregon |
Profile Details
| NPI number | 1972358208 |
|---|---|
| LBN Legal business name | Johnson, Kelly Ann Marie |
| Credentials | MOT, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2024 |
| Last updated | Apr 19th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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