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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