Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BEN DOUGLAS JOHNSON, PA-C
Active Sole ProprietorMR. BEN DOUGLAS JOHNSON, PA-C is a Medical Physician Assistant healthcare provider located in PHOENIX, Oregon. NPI 1720152465 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · PHOENIX, OR
Registration Details
- NPI Number
- 1720152465
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 17, 2006 (19.726849770036 yrs)
- Last Updated
- Feb 9, 2024
- Licenses
-
PA00825 (OR)PA00825 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 N PHOENIX RD STE 430PHOENIX, OR, 975359108Browse OR providers · Browse ZIP 97535
- Phone
- 5417784517
- Fax
- 5418330995
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
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.