SearchOregon101YM0800X

Deshawn Johnson

NPI 1710531207 · on the registry since 2019

Practice

Address
6647 Se Milwaukie Ave Ste B210
Portland, OR 97202
Phone
(971) 258-2120
Clinicians at this address
7

Additional practice sites

  • 39155 Liberty St Ste E500, Fremont, CA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
390200000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-24

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