Individual
DEBORAH M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1395 LIBERTY ST SE, SALEM, OR 97302-4276
(503) 585-9695
(503) 581-3960
Mailing address
1395 LIBERTY ST SE, SALEM, OR 97302-4276
(503) 585-9695
(503) 581-3960
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD16845
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022538
—
OR
Enumeration date
10/23/2006
Last updated
06/16/2015
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