CRAID DARRELL JOHNSON

PORTLAND, OR
NPI1780714881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: OR  D8573)
Enumeration Date2007-03-07
Last Update Date2007-07-08
Business Address
-- CRAID DARRELL JOHNSON D.D.S, M.S
511 SW 10TH AVE
PORTLAND, OR 97205-2732
Phone number: 503-241-7782
Mailing Address
-- CRAID DARRELL JOHNSON D.D.S, M.S
19742 BELLEVUE WAY
WEST LINN, OR 97068
Phone number: 503-241-7782
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