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Contact Information

CARLOS R JOHNSON SR
3325 HAROLD DR NE
SALEM, OR97305-1339
 Phone: 503-363-2021
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for CARLOS R JOHNSON SR · (Male)

NPI Number 1285443325
Status Active
Credentials
Entity Individual
Enumeration date 01/03/2025
Last updated 01/03/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • OR License # CRM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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