| Lynn E Johnson, Lcsw | |
|
2101 Main St Suite 204 Baker City OR 97814-2621 | |
| (541) 524-0800 | |
| (509) 493-3765 |
| Full Name | Lynn E Johnson, Lcsw |
|---|---|
| Speciality | Social Worker |
| Location | 2101 Main St, Baker City, Oregon |
| Authorized Official Name and Position | Carolann J Tate (OFFICE MANAGER) |
| Authorized Official Contact | 5094931467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn E Johnson, Lcsw Po Box 1298 The Dalles OR 97058-9298 Ph: (509) 493-1467 | Lynn E Johnson, Lcsw 2101 Main St Suite 204 Baker City OR 97814-2621 Ph: (541) 524-0800 |
| NPI Number | 1548317134 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548317134 | NPI | - | NPPES |
| 278888 | Other | OR | MANAGED HEALTH NETWORK |
| 808073000 | Other | OR | REGENCE BCBS |
| YA60301 | Other | OR | PACIFIC SOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | L2571 (Oregon) | Primary |
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