IndividualActive
Amanda Johnson
NPI 1730801127 · Family Nurse Practitioner · Lakeview, OR
Provider details
- NPI number
- 1730801127
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 202211248NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1810 N 4th St
Lakeview, OR 97630-1003
Phone: (541) 600-2535
Fax: (541) 325-4804
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1168
Lakeview, OR 97630-0046
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2025-09-05
- Certified
- 2025-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.