Individual
MR. DAVID M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
1345 NW 15TH ST, LINCOLN CITY, OR 97367-3327
(541) 574-9570
(541) 574-8857
Mailing address
PO BOX 1538, NEWPORT, OR 97365-0115
(541) 574-9570
(541) 574-8857
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07-P-06
OR
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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