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1629336029
JORDAN BLAKE JOHNSON
PORTLAND, OR
NPI
1629336029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OR MD177889)
Enumeration Date
2012-04-24
Last Update Date
2020-09-24
Business Address
JORDAN BLAKE JOHNSON M.D.
707 SW WASHINGTON ST STE 700
PORTLAND, OR 97205-3523
Phone number: 503-299-9906
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Mailing Address
JORDAN BLAKE JOHNSON M.D.
PO BOX 35147 #1801
SEATTLE, WA 98124-5147
Phone number: 503-299-9906
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