SUSAN JOHNSON, MD LLC; NPI #1952330631

Contact Information

SUSAN JOHNSON, MD LLC

2209 LLOYD CTR
PORTLAND, OR 97232-1315

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

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NPI Profile & details for SUSAN JOHNSON, MD LLC

NPI # 1952330631

LBN Legal business name SUSAN JOHNSON, MD LLC

Authorized official SUSAN JOHNSON - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/03/2006

Last updated 04/14/2011 - About 15 years ago

Identifiers

OR	License #	MD17446
OR	Medicaid	8145617

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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