Individual
DR. LADONNA MAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
201 PLAGEMAN BLDG, OREGON STATE UNIVERSITY - STUDENT HEALTH, CORVALLIS, OR 97331-5801
(541) 737-3106
(541) 737-4530
Mailing address
201 PLAGEMAN BLDG, OREGON STATE UNIVERSITY - STUDENT HEALTH, CORVALLIS, OR 97331-5801
(541) 737-3106
(541) 737-4530
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A5511
CA
207Q00000X
Family Medicine Physician
Primary
DO19146
OR
Other
Enumeration date
10/26/2006
Last updated
08/05/2015
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