Bradley Thiren Johnson in Eugene - Pharmacotherapy

Bradley Thiren Johnson - NPI 1710984588

Bradley Thiren Johnson is a Pharmacotherapy in Eugene, Oregon. Bradley Thiren Johnson practices all healthcare services and medical treatments related to Pharmacotherapy. The NPI Number for Bradley Thiren Johnson is 1710984588. The last update date is 2007-07-08.

Bradley Thiren Johnson's current location address is 1125 Lorella Ave, Eugene, Oregon. You can contact this provider via phone number 5413437162 and fax number 5412428303. The mailing address for Bradley Thiren Johnson is 1125 Lorella Ave, Eugene, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Thiren Johnson
Address 1125 Lorella Ave, Eugene, Oregon
Phone Number 5413437162
Fax Number 5412428303
Sole Proprietor X
Credentials RPH,CGP,CD

NPI Number Detail

NPI Number 1710984588
Provider Enumeration Date 2005-07-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1125 Lorella Ave
City Eugene
State Oregon (OR)
Post Code 974017823
Phone Number 5413437162
Fax Number 5412428303

Provider's Primary Taxonomy Detail

Speciality Pharmacotherapy
Taxonomy 1835P1200X
Licence No HD032131
Definition:
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and cons

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
759 OR GERIATRIC CERTIFICATION
6258 OR PHARMACY LISCENSE
HD032131 OR DIABETES MANAGMENT CERTIF

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FAQs about Bradley Thiren Johnson

What is the unique 10-digit identifier code assigned to Bradley Thiren Johnson by the Centers for Medicare & Medicaid Services?

The Bradley Thiren Johnson has been issued the NPI (National Provider Identifier) 1710984588 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Bradley Thiren Johnson is physically located?

The Bradley Thiren Johnson is physically situated at the following address: 1125 Lorella Ave, Eugene, OR, 974017823.

What is Bradley Thiren Johnson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Bradley Thiren Johnson is Pharmacotherapy, and the taxonomy classification code that categorizes this area of expertise is 1835P1200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710984588 to Bradley Thiren Johnson?

The Centers for Medicare & Medicaid Services originally issued the 1710984588 to Bradley Thiren Johnson on 2005-07-07.

When was the information pertaining to Bradley Thiren Johnson most recently updated or revised?

The details related to Bradley Thiren Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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