Johnson, Jeannine S

Johnson, Jeannine S is an sole proprietor health care provider with primary practice located at 19400 Nw Evergreen Pwy , Hillsboro OR 97124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Johnson, Jeannine S can be contacted via phone (503) 645-2762.

Contact Information

Primary practice address
19400 Nw Evergreen Pwy Hillsboro OR 97124
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD22433 Oregon
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00040952 Washington

Profile Details

NPI number 1083715999
LBN Legal business name Johnson, Jeannine S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2006
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.

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