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Individual

KAREN DIANE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398
Mailing address
1275 WALLACE RD NW, SALEM, OR 97304-3007
(503) 371-3232
(503) 375-2398

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14151
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
105890
OR
Enumeration date
07/28/2005
Last updated
10/17/2007
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