Individual
DR. AMANDA RAE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301
(503) 561-5634
Mailing address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-5634
(503) 561-8442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO177511
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2013
Last updated
10/15/2019
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