Individual
CHARLES E JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 SW NYE AVENUE, PENDLETON, OR 97801
(541) 276-0729
Mailing address
2600 WESTGATE, PENDLETON, OR 97801
(541) 276-0810
(541) 278-2209
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD07638
OR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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