Individual
DR. MICHAEL WAYNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21887 SW SHERWOOD BLVD STE C, SHERWOOD, OR 97140-9412
(503) 625-7474
(503) 625-1688
Mailing address
21887 SW SHERWOOD BLVD STE C, SHERWOOD, OR 97140-9412
(503) 625-7474
(503) 625-1688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10807
OR
Other
Enumeration date
07/18/2006
Last updated
04/23/2010
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