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Individual

KATIE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
254 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 434-6060
Mailing address
254 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 434-6060

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD206312
OR

Other

Enumeration date
04/13/2016
Last updated
07/18/2025
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