Johnson, Craid Darrell

Johnson, Craid Darrell is an sole proprietor health care provider with primary practice located at 511 Sw 10Th Ave , Portland OR 97205-2732. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Johnson, Craid Darrell can be contacted via phone (503) 241-7782.

Contact Information

Primary practice address
511 Sw 10Th Ave Portland OR 97205-2732
Fax: (503) 224-2746
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X D8573 Oregon

Profile Details

NPI number 1780714881
LBN Legal business name Johnson, Craid Darrell
Credentials D.D.S, M.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers