Individual provider · Type 1 NPI

Amanda Johnson

Family Nurse Practitioner · Lakeview, OR

NPI number 1730801127 Active

Practice location

1810 N 4th St
Lakeview, OR 97630-1003

Fax (541) 325-4804

Mailing address

PO Box 1168
Lakeview, OR 97630-0046

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X202211248NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1730801127

Amanda Johnson's National Provider Identifier is 1730801127, issued on Sep 13, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakeview, OR. The record was last updated on Sep 5, 2025.