Johnson, Ben Douglas

Johnson, Ben Douglas is an sole proprietor health care provider with primary practice located at 205 N Phoenix Rd Ste 430 , Phoenix OR 97535-9108. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Johnson, Ben Douglas can be contacted via phone (541) 778-4517.

Contact Information

Primary practice address
205 N Phoenix Rd Ste 430 Phoenix OR 97535-9108
Phone: (541) 778-4517
Fax: (541) 833-0995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00825 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00825 Oregon

Profile Details

NPI number 1720152465
LBN Legal business name Johnson, Ben Douglas
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2006
Last updated Feb 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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