Individual
MR. ERIC MERRILL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 418-9406
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 418-9406
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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