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Individual

KATHERINE SUZANNE JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
700 SW RAMSEY AVE, #204, GRANTS PASS, OR 97527-5786
(541) 955-5683
(541) 955-0983
Mailing address
700 SW RAMSEY AVE, #204, GRANTS PASS, OR 97527-5786
(541) 955-5683
(541) 955-0983

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A102321
CA
208000000X
Pediatrics Physician
Primary
MD29260
OR

Other

Enumeration date
12/05/2008
Last updated
08/19/2009
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