# CORY T JOHNSON MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558516005
- **Authorized official:** CORY TODD JOHNSON MD (MD/CEO)
- **Authorized official phone:** (541) 274-2345

## Contact information

- **Practice address:** 3000 BRYANT WILLIAMS DR, SUITE 100, KLAMATH FALLS, OR 97601-1139
- **Practice address phone:** (541) 274-2345
- **Practice address fax:** (541) 274-4666
- **Mailing address:** 2301 MOUNTAIN VIEW BLVD, SUITE F, KLAMATH FALLS, OR 97601-1137
- **Mailing address phone:** (541) 850-0490
- **Mailing address fax:** (541) 850-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD24075 | OR | Yes |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 11/25/2008