Luther W Johansen MD

NPI 1073577276 - Family Medicine - 207Q00000X

NPI Details
NPI 1073577276
Gender Male
Enumeration Date 04/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
PORTLAND OR, 97233-5330, US
Phone (503) 666-6717
Fax (503) 666-6745
Business Location
PO BOX 92900
PORTLAND OR, 97292-0900, US
Taxonomy Code 207Q00000X
License State Oregon
License Number MD09066
Remove 1073577276 NPI Number

According to our database, Luther W Johansen MD NPI is 1073577276, taxonomy code is 207Q00000X and license number is MD09066, license state is located at Oregon. Luther W Johansen MD physically located at 18750 Se Stark St, Portland OR, 97233-5330. NPI Number Luther W Johansen MD has the Individual type.

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1073577276 NPI number is provided on an as is basis without warranty of any kind. 1073577276 is maintained by the National Plan & Provider Enumeration System. The contents of Luther W Johansen MD are for informational purposes only.