Individual
ANDREA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 MURPHY RD, MEDFORD, OR 97504-8520
(541) 622-8900
Mailing address
707 MURPHY RD, MEDFORD, OR 97504-8520
(541) 622-8900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
06/17/2024
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