Shelley Dale Johnston in La Grande - Orthopedic
Shelley Dale Johnston - NPI 1578513917
Shelley Dale Johnston is a Orthopedic in La Grande, Oregon. Shelley Dale Johnston practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Shelley Dale Johnston is 1578513917. The last update date is 2014-07-02.
Shelley Dale Johnston's current location address is 301 4th St, La Grande, Oregon. You can contact this provider via phone number 5419639340 and fax number 5419634562. The mailing address for Shelley Dale Johnston is 301 4th St, La Grande, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelley Dale Johnston |
|---|---|
| Address | 301 4th St, La Grande, Oregon |
| Phone Number | 5419639340 |
| Fax Number | 5419634562 |
| Sole Proprietor | N |
| Credentials | RPT |
NPI Number Detail
| NPI Number | 1578513917 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2014-07-02 |
Provider Mailing Address Detail
| Address | 301 4th St |
|---|---|
| City | La Grande |
| State | Oregon (OR) |
| Post Code | 978501901 |
| Phone Number | 5419639340 |
| Fax Number | 5419634562 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 557 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 838502000 | OR | RBCBSO | |
| 152140 | OR | -- | |
| P00233908 | OR | RR MEDICARE |
Post Comment/ Review Below
What is the unique identification code assigned to Shelley Dale Johnston by the Centers for Medicare & Medicaid Services?
The Shelley Dale Johnston has been issued the NPI (National Provider Identifier) 1578513917. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Shelley Dale Johnston is geographically located?
The Shelley Dale Johnston is physically situated at the following location: 301 4Th St, La Grande, OR, 978501901.
What is Shelley Dale Johnston's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Shelley Dale Johnston is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.
On what date was the 1578513917 assigned to Shelley Dale Johnston?
The Shelley Dale Johnston was issued its 1578513917 on 2006-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Shelley Dale Johnston most recently updated?
The details pertaining to the Shelley Dale Johnston, including its address, specialty, and other relevant information, were last refreshed on 2014-07-02.
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