Organization
JAMES B. JOHNSEN, D.M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B JOHNSEN DMD (OWNER)
(503) 646-4432
Entity
Organization
Contact information
Practice address
14125 SW FARMINGTON RD, BEAVERTON, OR 97005-2567
(503) 646-4432
(503) 531-3757
Mailing address
14125 SW FARMINGTON RD, BEAVERTON, OR 97005-2567
(503) 646-4432
(503) 531-3757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5676
OR
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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