Johnston, Tim

Johnston, Tim is an individual health care provider with primary practice located at 2825 E Barnett Road , Medford OR 97504-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Johnston, Tim can be contacted via phone (541) 282-6770.

Contact Information

Primary practice address
2825 E Barnett Road Medford OR 97504-0001
Phone: (541) 282-6770
Fax: (541) 282-6771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 44060 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD27527 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD27527 Oregon

Profile Details

NPI number 1518002427
LBN Legal business name Johnston, Tim
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Apr 18th, 2017 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518002427 NPPES
Oregon MEDICAID 241511

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