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Deborah M Johnson Md Pc
Medical Specialty Clinic/Center in Salem, Oregon
NPI 1114292034

Deborah M Johnson Md Pc is a Medical Specialty Clinic/Center based in Salem, OR and is specialized in Medical Specialty. Deborah M Johnson Md Pc practices in Salem, OR. The NPI Number for Deborah M Johnson Md Pc is 1114292034 and holds a License No. MD16845 (Oregon).

The current practice location address for Deborah M Johnson Md Pc is 1395 Liberty St Se, Salem, OR and can be reached out via phone at 503-585-9695 and via fax at 503-581-3960.

Location: 1395 Liberty St Se, Salem, OR, 97302-4276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114292034
Provider Name
Deborah M Johnson Md Pc
Credential
Provider Entity Type
Organization
Address
1395 Liberty St Se, Salem, OR, 97302-4276
Phone Number
503-585-9695
Fax Number
503-581-3960
Provider Enumeration Date
03/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022538 05 OR
institution
Provider Business Practice Location Address Details
Address
1395 Liberty St Se
City
Salem
State
Oregon
Zip
97302-4276
Phone Number
503-585-9695
Fax Number
503-581-3960
person
Provider Business Mailing Address Details
Address
1395 Liberty St Se
City
Salem
State
Oregon
Zip
97302-4276
Phone Number
503-585-9695
Fax Number
503-581-3960
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
MD16845 (Oregon)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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