Jeannine S Johnson M.D.

NPI 1083715999 - Pediatrics - 208000000X

NPI Details
NPI 1083715999
Gender Female
Enumeration Date 09/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
19400 NW EVERGREEN PWY
HILLSBORO OR, 97124, US
Phone (503) 645-2762
Fax
Business Location
3185 NW BAUER WOODS DR
PORTLAND OR, 97229-3685, US
Phone (503) 690-0805
Fax
Toxanomy
Taxonomy Code 208000000X
License State Washington
License Number MD00040952
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According to our database, Dr. Jeannine S Johnson M.D. NPI is 1083715999, taxonomy code is 208000000X and license number is MD00040952, license state is located at Washington. Jeannine S Johnson M.D. physically located at 19400 Nw Evergreen Pwy, Hillsboro OR, 97124. NPI Number Jeannine S Johnson M.D. has the Individual type.

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1083715999 NPI number is provided on an as is basis without warranty of any kind. 1083715999 is maintained by the National Plan & Provider Enumeration System. The contents of Jeannine S Johnson M.D. are for informational purposes only.