| Mrs Irene Annette Johnson, | |
|
73265 Confederated Way, Pendleton, OR 97801 | |
| (541) 966-9830 | |
| Not Available |
| Full Name | Mrs Irene Annette Johnson |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 73265 Confederated Way, Pendleton, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164520052 | NPI | - | NPPES |
| 171037 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 01-07-20 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Irene Annette Johnson, 73493 Highway 331, Pendleton, OR 97801-6000 Ph: (541) 966-8317 | Mrs Irene Annette Johnson, 73265 Confederated Way, Pendleton, OR 97801 Ph: (541) 966-9830 |
Carol Harshman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 | |
Kristen Thompson-graber, Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
Payton Jean Miller, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-278-6330 | |
James Perry Gourlie, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 | |
Courtney Bingham, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-240-8030 | |
Joseph Dyer, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 | |
Diana Bingham, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 331 Se 2nd St, Pendleton, OR 97801 Phone: 541-276-6207 Fax: 541-276-4628 |