| Kevin Bradley Johnson, CRNA | |
|
35345 Woodland Ln, Astoria, OR 97103-8351 | |
| (503) 325-4548 | |
| Not Available |
| Full Name | Kevin Bradley Johnson |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 35345 Woodland Ln, Astoria, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073684312 | NPI | - | NPPES |
| 9609439 | Medicaid | WA | |
| 196407 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 079043924CRNA (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Bradley Johnson, CRNA 35345 Woodland Ln, Astoria, OR 97103-8351 Ph: (503) 325-4548 | Kevin Bradley Johnson, CRNA 35345 Woodland Ln, Astoria, OR 97103-8351 Ph: (503) 325-4548 |
Erik D Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2111 Exchange St, Astoria, OR 97103 Phone: 503-325-4321 | |
Mr. Mark A Finkbeiner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2111 Exchange St, Astoria, OR 97103 Phone: 503-623-4321 |