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Individual

DR. JOSHUA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-7500
(503) 494-4997
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7500
(503) 494-4997

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A12535
CA
207P00000X
Emergency Medicine Physician
Primary
DO172424
OR

Other

Enumeration date
02/03/2012
Last updated
07/05/2018
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