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Individual

ROBERT SCOTT JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
47815 HIGHWAY 58, OAKRIDGE, OR 97463-9572
(541) 782-8304
(541) 782-5823
Mailing address
PO BOX 546, GRESHAM, OR 97030-0132
(541) 782-8242

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
09/16/2019
Last updated
10/01/2021
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