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1740547439
JASON LEE JOHNSTON
HERMISTON, OR
NPI
1740547439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR 173682)
Enumeration Date
2012-04-18
Last Update Date
2016-04-07
Business Address
-- JASON LEE JOHNSTON
236 E NEWPORT AVE
HERMISTON, OR 97838-2449
Phone number: 541-567-1137
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Mailing Address
-- JASON LEE JOHNSTON
950 LARCH ST
EUGENE, OR 97405-4641
Phone number: 541-325-6525
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