Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACQUELINE MARIE JOHNSON, D.O.

Active

DR. JACQUELINE MARIE JOHNSON, D.O. is a Family Medicine healthcare provider located in MYRTLE CREEK, Oregon. NPI 1083814099 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · MYRTLE CREEK, OR

Registration Details

NPI Number: 1083814099
Provider Type: Individual
Gender: Female
NPI Issued: Jul 19, 2007 (19.062663193811 yrs)
Last Updated: Aug 9, 2023
Licenses: O-0482 (ID)

DO161555 (OR)

Practice Information

Address: 145 NE BROADWAY ST

MYRTLE CREEK, OR, 974579039
Browse OR providers · Browse ZIP 97457
Phone: 5416777200
Fax: 5412293309
Primary Specialty: Family Medicine
207Q00000X
Additional Specialty: Family Medicine

Other Family Medicine Providers in MYRTLE CREEK, OR

Name	Credential	NPI
MARK MICHAEL HERSCHER	D.O.	1598856122
TOM LIN	MD	1952569956

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.