Individual
DR. JOHN H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
511 SW 10TH AVE, SUITE 1101, PORTLAND, OR 97205-2732
(503) 224-0090
(503) 224-0062
Mailing address
511 SW 10TH AVE, SUITE 1101, PORTLAND, OR 97205-2732
(503) 224-0090
(503) 224-0062
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8830
OR
Other
Enumeration date
08/06/2007
Last updated
06/18/2010
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