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Contact Information

ROBERT G JOHNSON JR, MD
2450 SW PERKINS AVE
PENDLETON, OR97801
 Phone: 541-276-1700
 Fax: 541-276-6327
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROBERT G JOHNSON JR · (Male)

NPI Number 1104846351
Status Active
Credentials MD
Entity Individual
Enumeration date 07/20/2006
Last updated 06/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD191277
  • WA License # MD00040371
  • WA Medicaid 8310351
Hospital affiliation(s)
  • ST ANTHONY HOSPITAL - (Critical Access)
    2801 ST ANTHONY WAY
    PENDLETON, OR 97801
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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