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NPI Code Detail

MEDICARE: MRS. KATHRYN JOHNSTON CNM

MEDICARE:  MRS. KATHRYN  JOHNSTON  CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367A00000XAdvanced Practice Midwife10036877OR
2367A00000XAdvanced Practice Midwife2022015654MO
3367A00000XAdvanced Practice Midwife1424AK

General Provider Information

NPI Number : 1174940753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KATHRYN JOHNSTON CNM
Provider Business Mailing Address
First Line : 2400 NE NEFF RD STE A
Second Line :
City : BEND
State : OR
Zip : 97701-6752
Country : US
Telephone Number : 907-360-6119
Fax Number :
Provider Business Practice Location Address
First Line : 2400 NE NEFF RD STE A
Second Line :
City : BEND
State : OR
Zip : 97701-6752
Country : US
Telephone Number : 541-389-3300
Fax Number : 541-389-8115
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2014
Last Update Date : 03/25/2026

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Directions to “ MRS. KATHRYN JOHNSTON CNM” Practice Location

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