Name: | John Johnson |
Specialization: | Ambulatory Care |
Credentials: | PHARMD, RPH |
Gender: | Male |
Location: | 5717 Ne 138th Ave, Portland, Oregon, 97230-9938 |
Phone: | 503-261-7588 |
NPI Number: | 1174994651 |
NPI Enumeration Date: | 09 Oct, 2015 |
NPI Last Update On: | 09 Oct, 2015 |
Specialization | License Number | State | Status | |
Ambulatory Care | RPH-001148 | Oregon | Primary | |
Ambulatory Care | PH 60293507 | Washington | Secondary |
Address: | 10650 Se Twolors Ln, Boring, Oregon |
Zip: | 97009-7503 |
Phone Number: | 971-235-6403 |
Fax Number: | -- |