| NPI | 1346565165 |
|---|---|
| Doing Business As | DR. KEVIN B. JOHNSON |
| Entity Type | Organization |
| Authorized Contact | KEVIN BROOKS JOHNSON Owner 503-266-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OR D9406) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2012-04-11 |