ISRAEL SYNCLAIR JOHNSON

CORVALLIS, OR
NPI1851961213
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy176B00000X Midwife
(Licence: OR  DEM-LD-10258947)
Additional Taxonomies176B00000X Midwife
(Licence: KY  4035403)
Enumeration Date2021-06-29
Last Update Date2026-01-15
Business Address
ISRAEL SYNCLAIR JOHNSON LCPM
2314 NW KINGS BLVD
CORVALLIS, OR 97330-3925
Phone number: 859-625-4116
Mailing Address
ISRAEL SYNCLAIR JOHNSON LCPM
3240 NW ELMWOOD DR
CORVALLIS, OR 97330-1104
Phone number: 859-625-4116