Johnson, Robert G

Johnson, Robert G is an individual health care provider with primary practice located at 2450 Sw Perkins Ave , Pendleton OR 97801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Johnson, Robert G can be contacted via phone (541) 276-1700.

Contact Information

Primary practice address
2450 Sw Perkins Ave Pendleton OR 97801
Phone: (541) 276-1700
Fax: (541) 276-6327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00040371 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD191277 Oregon

Profile Details

NPI number 1104846351
LBN Legal business name Johnson, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jun 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104846351 NPPES
Washington MEDICAID 8310351

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