| Dr Kevin Raymond Johnson I, MD | |
|
1510 Division St, Ste 210, Oregon City, OR 97045-1599 | |
| (503) 723-6525 | |
| (503) 723-6508 |
| Full Name | Dr Kevin Raymond Johnson I |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1510 Division St, Oregon City, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750387049 | NPI | - | NPPES |
| 128541 | Medicaid | OR | |
| P00924574 | Other | OR | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD16564 (Oregon) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | MD16564 (Oregon) | Secondary |
| 208C00000X | Colon & Rectal Surgery | MD16564 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Raymond Johnson I, MD Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Dr Kevin Raymond Johnson I, MD 1510 Division St, Ste 210, Oregon City, OR 97045-1599 Ph: (503) 723-6525 |
Tyler Scott Mittelstaedt, MD-MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Mr. John Joseph Antolik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 728 Molalla Ave, #c, Oregon City, OR 97045 Phone: 503-557-1233 Fax: 503-557-1310 | |
Shawn M Morgan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 Fax: 503-723-6508 | |
Eleazar D Lawson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Dr. John Stephen Domreis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 | |
Melissa Lin, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1510 Division St Ste 210, Oregon City, OR 97045 Phone: 503-723-6525 |