Johnston, Jacob Benjamin

Johnston, Jacob Benjamin is an individual health care provider with primary practice located at 1233 Edgewater St Nw , Salem OR 97304-4049. He recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Johnston, Jacob Benjamin can be contacted via phone (503) 378-7526.

Contact Information

Primary practice address
1233 Edgewater St Nw Salem OR 97304-4049
Phone: (503) 378-7526
Fax: (503) 480-1611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X
Other Service Providers / Community Health Worker 172V00000X THW000002220 Oregon

Profile Details

NPI number 1407498074
LBN Legal business name Johnston, Jacob Benjamin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2019
Last updated Jul 23rd, 2020 - about 6 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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