Individual
PATRICK B JOHANSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
600 NW 11TH ST STE E15, HERMISTON, OR 97838-8602
(541) 567-6434
(541) 429-6613
Mailing address
600 NW 11TH ST STE E15, HERMISTON, OR 97838-8602
(541) 567-6434
(541) 429-6613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO198260
OR
207Q00000X
Family Medicine Physician
OP60709245
WA
390200000X
Student in an Organized Health Care Education/Training Program
OL60568301
WA
Other
Enumeration date
04/16/2015
Last updated
08/04/2020
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