IndividualActive
Pam Johnston
NPI 1083712640 · Registered Dietitian · Bethany, OK
Pam Johnston is a Registered Dietitian provider in Bethany, OK (NPI 1083712640).
Provider details
- NPI number
- 1083712640
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1104 (OK)
Practice location
6800 Nw 39th Expy
Bethany, OK 73008-2513
Phone: (405) 789-6711
Fax: (405) 789-0690
Street-level locationGet directions
Mailing address
6800 Nw 39th Expy
Bethany, OK 73008-2513
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.