Johnston, Tibitha Jane

Johnston, Tibitha Jane is an individual health care provider with primary practice located at 3600 N Interstate Ave , Portland OR 97227-1106. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Contact Lens, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Contact Lens is her primary health care specialty. Johnston, Tibitha Jane can be contacted via phone (503) 249-3429.

Contact Information

Primary practice address
3600 N Interstate Ave Portland OR 97227-1106
Phone: (503) 249-3429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Contact Lens 156FC0800X
Eye and Vision Services Providers / Optician 156FX1800X D2024 Washington

Profile Details

NPI number 1578650149
LBN Legal business name Johnston, Tibitha Jane
Credentials LDO
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
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.

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