Individual
JEREMY SCOTT JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1605 OAK ST, EUGENE, OR 97401-4022
(541) 246-3400
(541) 246-3342
Mailing address
2852 WILLAMETTE ST STE 400, EUGENE, OR 97405-8200
(541) 246-3400
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
PA168476
OR
208VP0014X
Interventional Pain Medicine Physician
PA168476
OR
363A00000X
Physician Assistant
Primary
PA168476
OR
Other
Enumeration date
12/14/2011
Last updated
05/21/2025
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