Johnstone, Kyle Patrick

Johnstone, Kyle Patrick is an individual health care provider with primary practice located at 110 Beavercreek Rd Ste 100 , Oregon City OR 97045-4307. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Johnstone, Kyle Patrick can be contacted via phone (503) 722-6313.

Contact Information

Primary practice address
110 Beavercreek Rd Ste 100 Oregon City OR 97045-4307
Phone: (503) 722-6313
Fax: (503) 655-8595
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X H6133 Oregon

Profile Details

NPI number 1801178744
LBN Legal business name Johnstone, Kyle Patrick
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2011
Last updated Nov 5th, 2019 - about 6 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 1801178744 NPPES
Oregon MEDICAID 500684640

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