Organization
DEBORAH M JOHNSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEBORAH M JOHNSON (OWNER)
(503) 585-9695
Entity
Organization
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
261QM2500X
Medical Specialty Clinic/Center
Primary
MD16845
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022538
—
OR
Enumeration date
03/09/2012
Last updated
10/23/2012
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