IndividualActive
Keri Johnson, DENTAL ASSISTANT
NPI 1083728265 · Dental Assistant · Vancouver, WA
Provider details
- NPI number
- 1083728265
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Credential
- DENTAL ASSISTANT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
14406 Ne 20th Ave
Vancouver, WA 98686-1448
Phone: (360) 571-3139
Fax: (360) 571-3149
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1539
Woodland, WA 98674-1400
Registry dates
- Enumerated
- 2006-08-18
- 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.