Johnson, Jeffrey P
Johnson, Jeffrey P is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Ste 595 , Portland OR 97225-6640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Johnson, Jeffrey P can be contacted via phone (503) 291-1960.Contact Information
Primary practice address
9427 Sw Barnes Rd Ste 595
Portland OR 97225-6640
Phone: (503) 291-1960
Fax: (503) 297-9195
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD22577 | Oregon |
Profile Details
NPI number | 1457326647 |
---|---|
LBN Legal business name | Johnson, Jeffrey P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2006 |
Last updated | Jul 28th, 2009 - about 16 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 | 1457326647 | NPPES |
Oregon | MEDICAID | 288166 |
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