Individual
CRAIG DARRELL JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.S
Contact information
Practice address
511 SW 10TH AVE, PORTLAND, OR 97205-2732
(503) 241-7782
(503) 224-2746
Mailing address
511 SW 10TH AVE STE 813, PORTLAND, OR 97205-2709
(503) 241-7782
(503) 224-2746
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8573
OR
Other
Enumeration date
03/07/2007
Last updated
08/18/2025
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