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1669085981
JORDAN JOHNSON
CORVALLIS, OR
NPI
1669085981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA201748)
Enumeration Date
2020-08-26
Last Update Date
2020-11-10
Business Address
JORDAN JOHNSON PA-C
990 NW CIRCLE BLVD STE 102
CORVALLIS, OR 97330-1967
Phone number: 541-768-5486
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Mailing Address
JORDAN JOHNSON PA-C
PO BOX 1189
CORVALLIS, OR 97339-1189
Phone number:
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