Individual
JOHN THOMAS FORSYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19250 SW 65TH AVE, #110, TUALATIN, OR 97062
(503) 692-1205
(503) 692-1207
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13146
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
267732
—
OR
Enumeration date
03/17/2006
Last updated
04/17/2023
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