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Individual

MR. RYAN CHRISTOPHER JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, NP-C

Contact information

Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7606
(503) 304-7673
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7606
(503) 304-7673

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201503093NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP7384
AZ

Other

Enumeration date
10/20/2014
Last updated
04/11/2017
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