Individual provider · Type 1 NPI
Kortnie Johnson, SDH
Student in an Organized Health Care Education/Training Program · Sherwood, OR
NPI number
1861102873
Active
Practice location
17030 SW Rocky Ramble Ln
Sherwood, OR 97140-9215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Hygienist | 124Q00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1861102873
Kortnie Johnson, SDH's National Provider Identifier is 1861102873, issued on Nov 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sherwood, OR. The record was last updated on Nov 30, 2022.