Individual
DR. FAYE C. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9555 SW BARNES RD STE 270, PORTLAND, OR 97225-6613
(503) 297-1025
(503) 297-1043
Mailing address
9555 SW BARNES RD STE 270, PORTLAND, OR 97225-6613
(150) 329-7102
(503) 297-1043
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA07447900
NJ
Other
Enumeration date
06/28/2006
Last updated
07/27/2021
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