Deborah M Johnson
Gynecologist
1395 Liberty St Se
Salem
, Oregon 97302-4276
Deborah M Johnson
Gynecologist
1395 Liberty St Se
Salem
, Oregon 97302-4276
(503) 581-3960
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Deborah M Johnson
- 1395 Liberty St Se
- Salem, OR
- Zip : 97302-4276
- Fax : (503) 581-3960
- Phone : (503) 585-9695
Second Address
- Deborah M Johnson
- 1395 Liberty St Se
- Salem, OR
- Zip : 97302-4276
- Fax : (503) 581-3960
- Phone : (503) 585-9695
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | MD16845 | OR |
National Provider Identifier
| NPI | 1053494294 |
|---|---|
| Provider Name | Deborah M Johnson |
| First Address | Salem, OR 97302-4276 |
| Second Address | Salem, OR 97302-4276 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/10/2006 |
| Last Update Date | 16/06/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 022538 | (05) | OR |
| A52252 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.