Jacob Benjamin Johnston
Jacob Benjamin Johnston is an Attendant Care Provider in Salem, Oregon. Works from 2 locations. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1233 Edgewater St NWSalem, OR 97304-4049
Phone: (503) 378-7526
Fax: (503) 480-1611
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 6200 Poplar Ln, Independence, OR 97351-9659 — (503) 877-8567
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence THW000002220 (OR) |
|---|---|
| Attendant Care Provider | Taxonomy 3747A0650X |
Record details
| NPI number | 1407498074 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 15, 2019 |
| Last updated in NPPES | July 23, 2020 |
| Certification date | July 23, 2020 |
| Mailing address | 1525 Plaza St Nw, Salem, OR 97304-4614 |
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