Individual
DR. STEVEN FOLKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Mailing address
94220 4TH ST, GOLD BEACH, OR 97444-7756
(541) 247-3000
(541) 247-3101
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
M10784
ID
208800000X
Urology Physician
MD11692
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008909
—
OR
05
—
808457000
—
ID
01
—
93-0937095
CURRY HEALTH DISTRICT TAX I.D.
OR
01
—
P00809334
MCRR
ID
Enumeration date
12/02/2005
Last updated
08/18/2015
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