Individual
DR. JEFFREY EATON JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 652-2880
Mailing address
9900 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9777
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
OR MD18947
OR
208800000X
Urology Physician
WA MD00037620
WA
Other
Enumeration date
08/22/2006
Last updated
02/04/2022
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