Individual
JENNIFER LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123
(503) 640-6064
(503) 693-2330
Mailing address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-4318
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
18917
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4484
OR
Other
Enumeration date
06/07/2006
Last updated
03/10/2014
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