GEORGE WALLACE JOHANSEN

EUGENE, OR
NPI1639145030
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: OR  MD06490)
Enumeration Date2006-02-24
Last Update Date2008-12-16
Business Address
Dr. GEORGE WALLACE JOHANSEN M.M.
1200 HILYARD ST SUITE S-200
EUGENE, OR 97401-8122
Phone number: 541-685-1755
Mailing Address
Dr. GEORGE WALLACE JOHANSEN M.M.
PO BOX 24410
EUGENE, OR 97402-0451
Phone number:
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