Individual
DR. JEFFREY P JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9427 SW BARNES RD STE 595, PORTLAND, OR 97225-6640
(503) 291-1960
(503) 297-9195
Mailing address
9427 SW BARNES RD STE 595, PORTLAND, OR 97225-6640
(503) 291-1960
(503) 297-9195
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD22577
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288166
—
OR
Enumeration date
02/21/2006
Last updated
07/28/2009
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