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1508069980
ANDREW ROBERT JOHNSON
PORTLAND, OR
NPI
1508069980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA01300)
Enumeration Date
2007-06-06
Last Update Date
2015-05-04
Business Address
Mr. ANDREW ROBERT JOHNSON MPAS, PA-C
3181 SW SAM JACKSON PARK RD # L-605
PORTLAND, OR 97239-3011
Phone number: 503-494-2265
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Mailing Address
Mr. ANDREW ROBERT JOHNSON MPAS, PA-C
3181 SW SAM JACKSON PARK RD # L-605
PORTLAND, OR 97239-3011
Phone number: 503-494-2265
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