Most Relevant Information
Provider Data
| NPI Number: | 1003316183 |
| Provider Name: | JASON J JOHNSON RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WA2000X |
| Specialty: | Registered Nurse |
| License Number: | 2002409162RN |
Most Important Dates
| Enumeration Date: | 02/15/2018 |
| Last Updated: | 02/15/2018 |
Provider Practice Location
6464 SW BORLAND RD STE C1
TUALATIN
OR
970628856
Practice Location Phone/Fax
| Phone: | 5038785412 |
| Fax: |
Provider Mailing Location
6464 SW BORLAND RD STE C1
TUALATIN
OR
970628856
Provider Mailing Phone/Fax
| Phone: | 5038785412 |
| Fax: |