Individual
JOSHUA LAURENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 PROVIDENCE DR, SUITE 210, NEWBERG, OR 97132-7521
(503) 537-5900
(503) 537-5959
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
21543
NH
2084N0400X
Neurology Physician
87993
GA
2084N0400X
Neurology Physician
91890
MT
2084N0400X
Neurology Physician
Primary
MD23516
OR
2084N0400X
Neurology Physician
MD476319
PA
2084N0400X
Neurology Physician
ME14804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227430
—
OR
05
—
8385973
—
WA
Enumeration date
08/19/2005
Last updated
01/04/2023
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