| James B. Johnsen, D.m.d. | |
|
14125 Sw Farmington Rd Beaverton OR 97005-2567 | |
| (503) 646-4432 | |
| (503) 531-3757 |
| Full Name | James B. Johnsen, D.m.d. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14125 Sw Farmington Rd, Beaverton, Oregon |
| Authorized Official Name and Position | James B Johnsen (OWNER) |
| Authorized Official Contact | 5036464432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James B. Johnsen, D.m.d. 14125 Sw Farmington Rd Beaverton OR 97005-2567 Ph: (503) 646-4432 | James B. Johnsen, D.m.d. 14125 Sw Farmington Rd Beaverton OR 97005-2567 Ph: (503) 646-4432 |
| NPI Number | 1871760058 |
|---|---|
| Provider Enumeration Date | 05/15/2008 |
| Last Update Date | 05/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871760058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5676 (Oregon) | Primary |
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