NPI 1346417748
Mack S Johnsen DMD PC
Practice location
- Address
- 29990 SW Town Center LP Suite a, Wilsonville, OR 97070
- Phone
- (503) 682-2110
- Mailing address
- 29990 SW Town Center LP W Suite a, Wilsonville, OR 97070
Authorised official
- Name
- Mack S Johnsen
- Title
- Dentist
- Phone
- (503) 682-2110
Registered specialties
General Practice Dentistry
Primary
Registry record
- NPI
- 1346417748
- Entity type
- Organization
- NPI issued
- 14 May 2008
- Record last updated
- 14 May 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.