Dr NATHALIE G JOHNSON is a female medical professional, specializing in General Surgery. She graduated in 1986 from Medical College Of Virginia Commonwealth University School Of Medicine.
LEGACY CLINICS LLC
1130 NW 22ND AVE
PORTLAND
OR
972102934
Tel:
| Npi | 1942224936 |
| Pac Id | 7911043690 |
| Professional Enrollment Id | I20100923000840 |
| Last Name | JOHNSON |
| First Name | NATHALIE |
| Middle Name | G |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | LEGACY CLINICS LLC |
| Group Practice Pac Id | 0244144004 |
| Number Of Group Practice Members | 460 |
| Line 1 Street Address | 1130 NW 22ND AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | PORTLAND |
| State | OR |
| Zip Code | 972102934 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 380017 |
| Hospital Affiliation Lbn 1 | LEGACY GOOD SAMARITAN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380009 |
| Hospital Affiliation Lbn 2 | OHSU HOSPITAL |
| Hospital Affiliation Ccn 3 | 380004 |
| Hospital Affiliation Lbn 3 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 380089 |
| Hospital Affiliation Lbn 4 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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