Individual
DR. DOUGLAS M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2380 14TH AVE SE, ALBANY, OR 97322-6800
(541) 928-5414
(541) 967-1206
Mailing address
2380 14TH AVE SE, ALBANY, OR 97322-6800
(541) 928-5414
(541) 967-1206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6178
OR
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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