Individual
DR. NICOLAS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7529 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-8252
(503) 681-4240
(503) 681-4241
Mailing address
7529 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-8252
(503) 681-4240
(503) 681-4241
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
192528
OR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
192528
OR
Other
Enumeration date
06/30/2015
Last updated
01/22/2020
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