Johnson, Bradley Thiren

Johnson, Bradley Thiren is an individual health care provider with primary practice located at 4010 Aerial Way , Eugene OR 97402-9757. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Johnson, Bradley Thiren can be contacted via phone (541) 242-8525.

Contact Information

Primary practice address
4010 Aerial Way Eugene OR 97402-9757
Phone: (541) 242-8525
Fax: (541) 242-8520
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 6258 Oregon
Pharmacy Service Providers / Pharmacotherapy 1835P1200X HD032131 Oregon

Profile Details

NPI number 1710984588
LBN Legal business name Johnson, Bradley Thiren
Credentials RPH,CGP,CDM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710984588 NPPES
Oregon Other 0759 GERIATRIC CERTIFICATION
Oregon Other 6258 GERIATRIC CERTIFICATION
Oregon Other HD032131 GERIATRIC CERTIFICATION

Popular Providers