Doctor Name: | DR. SANDRA LEE JOHNSON |
NPI Number: | 1467559518 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 273338 |
Business Practice Address: | 1569 Sw Nancy Way Ste 1 Bend, OR - 977023234 |
Business Phone Number: | 5413838040 |
Business Fax Number: | |
Mailing Address: | Po Box 1103, BEND |
State: | OR |
Postal Code: | 977091103 |
Phone Number: | 5413838040 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 03/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 273338 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |