Dale Burt Johnston in Wilsonville - Sports Physician
Dale Burt Johnston - NPI 1275689465
Dale Burt Johnston is a Sports Physician in Wilsonville, Oregon. Dale Burt Johnston practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Dale Burt Johnston is 1275689465. The last update date is 2007-07-08.
Dale Burt Johnston's current location address is Po Box 691, Wilsonville, Oregon. You can contact this provider via phone number 5036829046 and fax number 5036829046. The mailing address for Dale Burt Johnston is Po Box 691, Wilsonville, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Dale Burt Johnston |
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Address | Po Box 691, Wilsonville, Oregon |
Phone Number | 5036829046 |
Fax Number | 5036829046 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1275689465 |
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Provider Enumeration Date | 2007-01-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | Po Box 691 |
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City | Wilsonville |
State | Oregon (OR) |
Post Code | 970700691 |
Phone Number | 5036829046 |
Fax Number | 5036829046 |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | 1544 |
Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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What is the unique 10-digit identification code issued to Dale Burt Johnston by the Centers for Medicare & Medicaid Services?
The Dale Burt Johnston has been assigned the NPI (National Provider Identifier) 1275689465 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Dale Burt Johnston's facilities are situated?
The facilities of Dale Burt Johnston are physically located at the following address: Po Box 691, Wilsonville, OR, 970700691.
What is the Dale Burt Johnston's specialty and taxonomy code?
The Dale Burt Johnston's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did Dale Burt Johnston receive its 1275689465 assignment from the Centers for Medicare & Medicaid Services?
The Dale Burt Johnston was assigned its 1275689465 on 2007-01-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Dale Burt Johnston, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dale Burt Johnston, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.