Individual
DR. THOMAS MICHAEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1785
Mailing address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-1785
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD167371
OR
Other
Enumeration date
04/13/2012
Last updated
03/18/2021
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