Johnson, Karen Diane
Johnson, Karen Diane is an individual health care provider with primary practice located at 1275 Wallace Rd Nw , Salem OR 97304-3007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Johnson, Karen Diane can be contacted via phone (503) 371-3232.Contact Information
Primary practice address
1275 Wallace Rd Nw
Salem OR 97304-3007
Phone: (503) 371-3232
Fax: (503) 375-2398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD14151 | Oregon |
Profile Details
| NPI number | 1689674996 |
|---|---|
| LBN Legal business name | Johnson, Karen Diane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Oct 17th, 2007 - about 18 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 | 1689674996 | NPPES |
| Oregon | MEDICAID | 105890 |
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