Individual
JAMES B JOHNSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
14125 SW FARMINGTON RD, BEAVERTON, OR 97005-2567
(503) 646-4432
Mailing address
14125 SW FARMINGTON RD, BEAVERTON, OR 97005-2567
(503) 646-4432
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5676
OR
Other
Enumeration date
07/12/2005
Last updated
07/08/2007
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