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1013254259
KELLY JOHNSON
LONGVIEW, WA
NPI
1013254259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WA AP70027451)
Enumeration Date
2013-01-08
Last Update Date
2026-06-10
Business Address
-- KELLY JOHNSON
1230 7TH AVE
LONGVIEW, WA 98632-3198
Phone number: 800-813-2000
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Mailing Address
-- KELLY JOHNSON
500 NE MULTNOMAH ST STE 100
PORTLAND, OR 97232-2099
Phone number: 800-813-2000
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