Organization
SUSAN JOHNSON, MD LLC
Active
Organization
SUSAN JOHNSON, MD LLC
Active
Other names
Johnson Center for Pelvic Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN HARRINGTON JOHNSON MD (MANAGER)
(503) 345-9339
Entity
Organization
Contact information
Practice address
2209 LLOYD CTR, PORTLAND, OR 97232-1315
(503) 345-9339
(503) 345-9339
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 345-9339
(503) 345-9339
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD17446
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8145617
—
OR
Enumeration date
07/03/2006
Last updated
04/14/2011
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