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1215500996
SAMUEL THOMAS JOHNSON
SALEM, OR
NPI
1215500996
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2021-07-21
Last Update Date
2021-07-21
Business Address
SAMUEL THOMAS JOHNSON
2925 RIVER RD S STE 200
SALEM, OR 97302-3677
Phone number: 503-443-6156
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Mailing Address
SAMUEL THOMAS JOHNSON
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number: 503-443-6156
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