SearchOregon175T00000X

Kylie Johnson, CRM

NPI 1952989956 · on the registry since 2021

Practice

Address
389 Sw Scalehouse Ct Ste 130
Bend, OR 97702
Phone
(541) 306-4446
Fax
(541) 512-7090
Clinicians at this address
32

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101YM0800X
101YA0400X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-10

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