Search › Oregon › 1223G0001X
Kelly Johnson, D.D.S
NPI 1437486800 · on the registry since 2009
Practice
- Address
- 7420 Sw Bridgeport Rd
Suite 104
Tigard, OR 97224 - Phone
- (503) 430-7909
- Fax
- (503) 268-1501
- Organisation at this address
- Bridgeport Family Dental, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-03-20
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