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Organization

SALEM PULMONARY ASSOCIATES P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN JOHNSON II M.D. (OWNER)
(503) 588-3945
Entity
Organization

Contact information

Practice address
801 MISSION ST SE, SALEM, OR 97302-6217
(503) 588-3945
Mailing address
801 MISSION ST SE, SALEM, OR 97302-6217

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008305
OR
Enumeration date
08/25/2006
Last updated
03/17/2011
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