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Contact Information

GEORGE D JOHNSTON, DO
825 BENNETT AVE
MEDFORD, OR97504-6715
 Phone: 541-779-5228
 Fax: 541-772-1533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for GEORGE D JOHNSTON · (Male)

NPI # 1891757464
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/06/2006
Last updated 10/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A8812
  • OR License # DO24988
  • OR Medicaid 275335
Hospital affiliation(s)
  • SKY LAKES MEDICAL CENTER - (Acute Care)
    2865 DAGGETT AVENUE
    KLAMATH FALLS, OR 97601
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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