Individual provider · Type 1 NPI
Ben Douglas Johnson, PA-C
Medical Physician Assistant · Phoenix, OR
NPI number
1720152465
Active
Practice location
205 N Phoenix Rd Ste 430
Phoenix, OR 97535-9108
Fax (541) 833-0995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA00825 (OR) |
| Medical Physician Assistant Primary | 363AM0700X | PA00825 (OR) |
Medical Physician Assistant: Definition to come...
Another provider at this address
About NPI 1720152465
Ben Douglas Johnson, PA-C's National Provider Identifier is 1720152465, issued on Nov 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, OR. The record was last updated on Feb 9, 2024.