DR. Jacqueline Marie Johnson, D.O.
NPI #1083814099 in Myrtle Creek, Oregon
Provider Information
- NPI Number
- 1083814099
- Entity Type
- Individual
- Name
- DR. Jacqueline Marie Johnson, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- D.O.
- Enumeration Date
- Jul 19, 2007
- Last Updated
- Aug 9, 2023
Practice Location
- Address
- 145 NE BROADWAY ST
- City
- Myrtle Creek
- State
- Oregon
- ZIP Code
- 97457-9039
- Phone
- (541) 677-7200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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