Dr. Jacqueline Marie Johnson, DO
Dr. Jacqueline Marie Johnson, DO is a Family Practice in Myrtle Creek, Oregon. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2006, 20 years ago. Practices with Centennial Medical Group East LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Idaho and Oregon.
- Years since qualifying
- 20
- Trained at
- At Still University of Health Sciences, College of Osteo Med, Kirksville
- Licensed in
- ID, OR
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
145 NE Broadway StMyrtle Creek, OR 97457-9039
Phone: (541) 677-7200
Fax: (541) 229-3309
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence DO161555 (OR) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence O-0482 (ID) |
Record details
| NPI number | 1083814099 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | July 19, 2007 |
| Last updated in NPPES | August 9, 2023 |
| Certification date | August 9, 2023 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE |
| Graduated | 2006 (20 years in practice) |
| Group practice | Centennial Medical Group East Llc — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Myrtle Creek
-
Centennial Medical Group East, LLC
145 NE Broadway St, Myrtle Creek, OR 97457-9039 · (541) 863-3146
-
Mark Michael Herscher, DO
145 NE Broadway, Myrtle Creek, OR 97457-0117 · (541) 863-3146
-
Tom Lin, MD
145 NE Broadway St, Myrtle Creek, OR 97457-9039 · (541) 677-7200
-
Mark M Herscher DO
145 NE Broadway, Myrtle Creek, OR 97457-0117 · (541) 863-3146