Johnson, Nathalie George

Johnson, Nathalie George is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Suite 500, Portland OR 97210-2900. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Johnson, Nathalie George can be contacted via phone (503) 229-7431.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Suite 500 Portland OR 97210-2900
Phone: (503) 229-7431
Fax: (503) 292-1433
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD17901 Oregon

Profile Details

NPI number 1942224936
LBN Legal business name Johnson, Nathalie George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 23rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942224936 NPPES
Oregon MEDICAID 044532

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