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Jacqueline Johnson, D.O
NPI 1083814099 · on the registry since 2007
Practice
- Address
- 145 Ne Broadway St
Myrtle Creek, OR 97457 - Phone
- (541) 677-7200
- Fax
- (541) 229-3309
- Organisation at this address
- Centennial Medical Group East, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- ID, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon