Individual provider · Type 1 NPI

Jacqueline Marie Johnson, DO

Family Medicine Physician · Myrtle Creek, OR

NPI number 1083814099 Active

Practice location

145 NE Broadway St
Myrtle Creek, OR 97457-9039

Fax (541) 229-3309

Mailing address

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471-6214

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XO-0482 (ID)
Family Medicine Physician Primary 207Q00000XDO161555 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1083814099

Jacqueline Marie Johnson, DO's National Provider Identifier is 1083814099, issued on Jul 19, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Myrtle Creek, OR. The record was last updated on Aug 9, 2023.