Individual
DR. LAURENS FOSTER JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6352 PALOMINO WAY, WEST LINN, OR 97068-2242
(503) 656-7371
(503) 254-0656
Mailing address
6352 PALOMINO WAY, WEST LINN, OR 97068-2242
(503) 656-7371
(503) 254-0656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15988
OR
Other
Enumeration date
03/17/2006
Last updated
03/26/2009
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