Johnson, Deborah M
Johnson, Deborah M is an sole proprietor health care provider with primary practice located at 1395 Liberty St Se , Salem OR 97302-4276. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Johnson, Deborah M can be contacted via phone (503) 585-9695.Contact Information
Primary practice address
1395 Liberty St Se
Salem OR 97302-4276
Phone: (503) 585-9695
Fax: (503) 581-3960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD16845 | Oregon |
Profile Details
| NPI number | 1053494294 |
|---|---|
| LBN Legal business name | Johnson, Deborah M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jun 16th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053494294 | NPPES |
| Oregon | MEDICAID | 022538 |
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