OrganizationActive
Laura L. Johnson, N.P., P.C.
NPI 1447752035 · Family Nurse Practitioner · Shady Cove, OR
Provider details
- NPI number
- 1447752035
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Laura Johnson, Nurse Practitioner(541) 890-8826
- License
- 201050002NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
21990 Highway 62
Shady Cove, OR 97539-9717
Phone: (541) 878-2022
Fax: (541) 878-1498
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 508
Shady Cove, OR 97539-0508
Other names (DBA / former)
- Doing business as
- Crater Lake Medical South
Registry dates
- Enumerated
- 2018-02-28
- Last updated
- 2024-06-25
- Certified
- 2024-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.