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Individual

DR. ETHAN MICHAEL JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1543 N PACIFIC HWY, WOODBURN, OR 97071-3656
(971) 446-9191
Mailing address
918 CARTER AVE NW, SALEM, OR 97304-3556

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6494
OR

Other

Enumeration date
04/06/2026
Last updated
04/06/2026
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