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Search › Oregon › 156FX1800X

Wyatt Johnson, ABOC

NPI 1831880749 · on the registry since 2023

Practice

Address
2203 Sw Court Pl
Pendleton, OR 97801
Phone
(541) 276-2905
Organisation at this address
Walmart Inc.
Wal-Mart Stores, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-19

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