Paul W Johnson, Do | |
2222 Nw Lovejoy St Ste 522 Portland OR 97210-3033 | |
(971) 302-7084 | |
(503) 286-7939 |
Full Name | Paul W Johnson, Do |
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Speciality | Internal Medicine |
Location | 2222 Nw Lovejoy St, Portland, Oregon |
Authorized Official Name and Position | Paul W Johnson (OWNER) |
Authorized Official Contact | 9713027084 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Paul W Johnson, Do 3439 Ne Sandy Blvd #234 Portland OR 97232-1959 Ph: (971) 302-7084 | Paul W Johnson, Do 2222 Nw Lovejoy St Ste 522 Portland OR 97210-3033 Ph: (971) 302-7084 |
NPI Number | 1447705801 |
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Provider Enumeration Date | 08/16/2016 |
Last Update Date | 10/30/2024 |
Medicare PECOS PAC ID | 3274820691 |
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Medicare Enrollment ID | O20160928000824 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447705801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RS0010X | Internal Medicine - Sports Medicine | DO28084 (Oregon) | Primary |
Provider Name | Paul W Johnson |
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Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1689785925 PECOS PAC ID: 2264431873 Enrollment ID: I20110830000103 |
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