TYLER KENNETH JOHNSON

LEBANON, OR
NPI1073226452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-01-02
Last Update Date2025-06-18
Business Address
Dr. TYLER KENNETH JOHNSON DO
200 MULLINS DR
LEBANON, OR 97355-3983
Phone number: 541-259-0235
Mailing Address
Dr. TYLER KENNETH JOHNSON DO
101 BODIN CIR
FAIRFIELD, CA 94535-1809
Phone number: 707-423-3000