Johnson, Tara Nicole
Johnson, Tara Nicole is an individual health care provider with primary practice located at 401 E 3Rd St Ste 101 , The Dalles OR 97058-2563. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Johnson, Tara Nicole can be contacted via phone (541) 298-2101.Contact Information
Primary practice address
401 E 3Rd St Ste 101
The Dalles OR 97058-2563
Phone: (541) 298-2101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1124699954 |
|---|---|
| LBN Legal business name | Johnson, Tara Nicole |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2021 |
| Last updated | Jul 2nd, 2021 - about 5 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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