Doctor Name: | ERICA JOHNSON |
NPI Number: | 1417236159 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD, LD |
License Number: | LD-D-10144495 |
Business Practice Address: | 999 Nw Circle Blvd Corvallis, OR - 973301408 |
Business Phone Number: | 5412865326 |
Business Fax Number: | |
Mailing Address: | 999 Nw Circle Blvd, CORVALLIS |
State: | OR |
Postal Code: | 973301408 |
Phone Number: | 5412865326 |
Fax Number: | |
NPI Enumeration Date: | 08/11/2011 |
NPI Last Update Date: | 07/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD-D-10144495 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |