Individual
ROBERT G JOHNSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2450 SW PERKINS AVE, PENDLETON, OR 97801
(541) 276-1700
(541) 276-6327
Mailing address
PO BOX 670, BEND, OR 97709-0670
(541) 276-1700
(541) 276-6327
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00040371
WA
207Q00000X
Family Medicine Physician
Primary
MD191277
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8310351
—
WA
Enumeration date
07/20/2006
Last updated
06/06/2019
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