Johnson, Leah J
Johnson, Leah J is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Johnson, Leah J can be contacted via phone (503) 216-4830.Contact Information
Primary practice address
9205 Sw Barnes Rd
Portland OR 97225-6603
Phone: (503) 216-4830
Fax: (503) 216-4850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 18533 | Oregon |
Profile Details
| NPI number | 1710957055 |
|---|---|
| LBN Legal business name | Johnson, Leah J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 28th, 2019 - about 5 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 | 1710957055 | NPPES |
| Oregon | MEDICAID | 165012 |
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