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Jacqueline Johnson
NPI 1760840896 · on the registry since 2016 · sole proprietor
Practice
- Address
- 485 Alexander Loop Ste 110
Eugene, OR 97401 - Phone
- (541) 423-7009
- Organisation at this address
- Jackie'S Beauty Supply, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 225700000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-08
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