Individual
DR. TIM JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 E BARNETT ROAD, MEDFORD, OR 97504-0001
(541) 282-6770
(541) 282-6771
Mailing address
2640 E BARNETT RD, E333, MEDFORD, OR 97504-4301
(541) 282-6770
(541) 282-6771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
44060
CO
207Q00000X
Family Medicine Physician
MD27527
OR
208M00000X
Hospitalist Physician
Primary
MD27527
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241511
—
OR
Enumeration date
02/20/2007
Last updated
04/18/2017
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