Search › Oregon › 101YP2500X
Mary Johnson, PH.D., LPC
NPI 1154681963 · on the registry since 2012 · sole proprietor
Practice
- Address
- 202 Se Dorion Ave
Suite 103
Pendleton, OR 97801 - Phone
- (541) 276-2471
- Organisation at this address
- Pendleton Family Practice And Sports Medicine Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- OR, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon