Johnson, Paul W
Johnson, Paul W is an individual health care provider with primary practice located at 2222 Nw Lovejoy St Ste 522, Portland OR 97210-3033. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Johnson, Paul W can be contacted via phone (503) 810-6555.Contact Information
Primary practice address
2222 Nw Lovejoy St Ste 522
Portland OR 97210-3033
Phone: (503) 810-6555
Fax: (503) 286-7939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 2081S0010X | DO28084 | Oregon |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207RS0010X | DO28084 | Oregon |
Profile Details
| NPI number | 1689785925 |
|---|---|
| LBN Legal business name | Johnson, Paul W |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Dec 28th, 2016 - about 9 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 | 1689785925 | NPPES |
| Washington | MEDICAID | 8467474 |
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