Johnston, George David

Johnston, George David is an individual health care provider with primary practice located at 825 Bennett Ave , Medford OR 97504-6715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Johnston, George David can be contacted via phone (541) 779-5228.

Contact Information

Primary practice address
825 Bennett Ave Medford OR 97504-6715
Phone: (541) 779-5228
Fax: (541) 772-1533
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X DO24988 Oregon
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 20A8812 California

Profile Details

NPI number 1891757464
LBN Legal business name Johnston, George David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Oct 19th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891757464 NPPES
Oregon MEDICAID 275335

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