Organization
PURSUIT SPORTS MEDICINE LLC
Active
Other names
Paul W Johnson, DO
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W JOHNSON DO (OWNER)
(971) 302-7084
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST, STE 522, PORTLAND, OR 97210-3033
(971) 302-7084
(503) 286-7939
Mailing address
3439 NE SANDY BLVD, #234, PORTLAND, OR 97232-1959
(971) 302-7084
(503) 286-7939
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
DO28084
OR
Other
Enumeration date
08/16/2016
Last updated
10/30/2024
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