Individual
MICHAEL EVANS JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
375 LEFFELLE ST SE, SALEM, OR 97302-4341
(907) 364-3022
Mailing address
2000 SPICETREE LN SE, SALEM, OR 97306-3407
(907) 347-5605
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
144
AK
171100000X
Acupuncturist
Primary
AC181559
OR
Other
Enumeration date
05/03/2010
Last updated
03/28/2017
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