Forsythe, John Thomas

Forsythe, John Thomas is an individual health care provider with primary practice located at 19250 Sw 65Th Ave #110, Tualatin OR 97062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Forsythe, John Thomas can be contacted via phone (503) 692-1205.

Contact Information

Primary practice address
19250 Sw 65Th Ave #110 Tualatin OR 97062
Fax: (503) 692-1207
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD13146 Oregon

Profile Details

NPI number 1134188386
LBN Legal business name Forsythe, John Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 17th, 2023 - about last year

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 1134188386 NPPES
Oregon MEDICAID 267732

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