BECKY ANN JOHNSON

GRAND RONDE, OR
NPI1508426156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OR  10200106)
Additional Taxonomies133N00000X Nutritionist
(Licence: OR  8606562)
Enumeration Date2019-06-17
Last Update Date2024-10-10
Business Address
BECKY ANN JOHNSON LD
9605 GRAND RONDE RD
GRAND RONDE, OR 97347-9712
Phone number: 503-879-1396
Mailing Address
BECKY ANN JOHNSON LD
2371 NE STEPHENS ST STE 200
ROSEBURG, OR 97470-1399
Phone number: 541-672-8533