Individual
WILLIAM ELLIS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9155 SW BARNES RD, SUITE 830, PORTLAND, OR 97225-6625
(503) 229-7431
(503) 292-1433
Mailing address
9155 SW BARNES RD, SUITE 830, PORTLAND, OR 97225-6625
(503) 229-7431
(503) 292-1433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20044
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080572
—
OR
Enumeration date
07/07/2006
Last updated
05/22/2008
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