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CONSTANCE JOHANSON MD NPI 1396144507


NPI Information

NPI: 1396144507
Provider Name: CONSTANCE JOHANSON, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
3959 CROISAN CREEK RD S
SALEM, OR
ZIP 97302
Phone: (503) 364-5363
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Constance Johanson, MD is a family medicine in Salem, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Constance Johanson, MD NPI is 1396144507. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3959 CROISAN CREEK RD S
SALEM, OR
ZIP 97302-474
Phone: (503) 364-5363

The enumeration date for this NPI number is 8/14/2014 and was last updated on 8/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD13797OREGONYes
2207QA0505XFamily MedicineAdult MedicineMD13797OREGONNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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