NICHOLAS DARWIN JOHANTGEN

PORTLAND, OR
NPI1851731152
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA161672)
Enumeration Date2013-07-01
Last Update Date2013-07-01
Business Address
Mr. NICHOLAS DARWIN JOHANTGEN PA-C
9155 SW BARNES RD SUITE 934
PORTLAND, OR 97225-6625
Phone number: 503-229-7015
Mailing Address
Mr. NICHOLAS DARWIN JOHANTGEN PA-C
1438 SW COLLEGE ST
PORTLAND, OR 97201-2500
Phone number: 503-887-5138
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