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Dr. Kevin Raymond Johnson I, MD
Colon & Rectal Surgery Physician in Oregon City, Oregon
NPI 1750387049

Kevin Raymond Johnson I is a Colon & Rectal Surgery Physician based in Portland, OR. Kevin Raymond Johnson I practices in Oregon City, OR and has the professional credentials of MD. The NPI Number for Kevin Raymond Johnson I is 1750387049 and holds a License No. MD16564 (Oregon).

The current practice location address for Kevin Raymond Johnson I is 1510 Division St, Oregon City, OR and can be reached out via phone at 503-723-6525 and via fax at 503-723-6508. You can also correspond with Kevin Raymond Johnson I through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: 503-215-6494).

Location: 1510 Division St, Oregon City, OR, 97208-3158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750387049
Provider Name
Kevin Raymond Johnson I
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1510 Division St, Oregon City, OR, 97208-3158
Phone Number
503-723-6525
Fax Number
503-723-6508
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128541 05 OR
P00924574 01 OR RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
1510 Division St
City
Oregon City
State
Oregon
Zip
97045-1599
Phone Number
503-723-6525
Fax Number
503-723-6508
person
Provider Business Mailing Address Details
Address
1510 Division St
City
Oregon City
State
Oregon
Zip
97045-1599
Phone Number
503-723-6525
Fax Number
503-723-6508
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
MD16564 (Oregon)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
MD16564 (Oregon)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Colon & Rectal Surgery
Speciality
-
Taxonomy
208C00000X
License No.
MD16564 (Oregon)
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
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