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Miss Tibitha Jane Johnston, LDO
Optician in Portland, Oregon
NPI 1578650149

Tibitha Jane Johnston is a Optician based in Portland, OR and is specialized in Optician. Tibitha Jane Johnston practices in Portland, OR and has the professional credentials of LDO. The NPI Number for Tibitha Jane Johnston is 1578650149 and holds a License No. (Oregon).

The current practice location address for Tibitha Jane Johnston is 3600 N Interstate Ave, Portland, OR and can be reached out via phone at 503-249-3429. You can also correspond with Tibitha Jane Johnston through the mailing address at 2426 SE 157TH AVE, PORTLAND, OR - 97233-3710 (mailing address contact number: 503-761-2329).

Location: 3600 N Interstate Ave, Portland, OR, 97233-3710
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Provider Profile Details
NPI Number
1578650149
Provider Name
Tibitha Jane Johnston
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
3600 N Interstate Ave, Portland, OR, 97233-3710
Phone Number
503-249-3429
Fax Number
Provider Enumeration Date
10/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3600 N Interstate Ave
City
State
Zip
97227-1106
Phone Number
503-249-3429
Fax Number
person
Provider Business Mailing Address Details
Address
2426 Se 157Th Ave
City
State
Zip
97233-3710
Phone Number
503-761-2329
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Contact Lens
Taxonomy
License No.
D2024 (Washington)
Definition
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
()
Definition
Definition to come...
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