Individual
DR. ROBERT O. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2131 NW FILLMORE AVE, CORVALLIS, OR 97330-5624
(541) 753-7262
Mailing address
2131 NW FILLMORE AVE, CORVALLIS, OR 97330-5624
(541) 753-7262
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
27 2722
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27 2722
STATE LICENSE
OR
Enumeration date
06/04/2007
Last updated
07/08/2007
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