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Contact Information

SUSAN JOHNSON, MD LLC
2209 LLOYD CTR
PORTLAND, OR97232-1315
 Phone: 503-345-9339
 Fax: 503-345-9339
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SUSAN JOHNSON MD LLC · (Female)

NPI Number 1952330631
Status Active
Credentials
Entity Individual
Enumeration date 07/03/2006
Last updated 04/14/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # MD17446
  • OR Medicaid 8145617
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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