Individual
MARQUES S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1245 NW 4TH ST STE 101, REDMOND, OR 97756-1680
(541) 548-7761
(541) 598-3485
Mailing address
330 9TH ST, FLORENCE, OR 97439-9470
(541) 997-2820
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD170805
OR
Other
Enumeration date
06/03/2010
Last updated
06/02/2021
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