Individual
DR. JEANNE PAULY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2386 NW HOYT ST, PORTLAND, OR 97210-3219
(503) 228-5909
(503) 226-4186
Mailing address
2386 NW HOYT STREET, PORTLAND, OR 97210
(503) 228-5909
(503) 226-4186
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
109663
CA
Other
Enumeration date
10/23/2009
Last updated
04/11/2013
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