Individual
JASON LEE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
236 E NEWPORT AVE, HERMISTON, OR 97838-2449
(541) 567-1137
Mailing address
950 LARCH ST, EUGENE, OR 97405-4641
(541) 325-6525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
173682
OR
Other
Enumeration date
04/18/2012
Last updated
04/07/2016
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