IndividualActive
Dominic Johnson
NPI 1851858302 · Nurse's Aide · Pendleton, OR
Provider details
- NPI number
- 1851858302
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2575 Westgate Bldg 2
Pendleton, OR 97801-9613
Phone: (541) 240-8030
Fax: (541) 429-8777
Approximate (ZIP-level) locationGet directions
Mailing address
702 Sunset Dr
Ontario, OR 97914-3121
Registry dates
- Enumerated
- 2019-02-20
- Last updated
- 2019-02-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.