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Contact Information

CONSTANCE JOHANSON, MD
3959 CROISAN CREEK RD S
SALEM, OR97302-9474
 Phone: 503-364-5363
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CONSTANCE JOHANSON · (Female)

NPI Number 1396144507
Status Active
Credentials MD
Entity Individual
Enumeration date 08/14/2014
Last updated 08/14/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD13797
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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