Individual
DR. LEAH J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4830
(503) 216-4850
Mailing address
9400 SW BARNES RD, SUITE 307, PORTLAND, OR 97225-6608
(503) 292-9108
(503) 292-0346
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18533
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165012
—
OR
Enumeration date
01/26/2006
Last updated
03/28/2019
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