Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TYLER KENNETH JOHNSON, DO
Active Sole ProprietorDR. TYLER KENNETH JOHNSON, DO is a Military Health Care Provider healthcare provider located in LEBANON, Oregon. NPI 1073226452 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · LEBANON, OR
Registration Details
- NPI Number
- 1073226452
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 2, 2023 (3.6305993091479 yrs)
- Last Updated
- Jun 18, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 MULLINS DRLEBANON, OR, 973553983Browse OR providers · Browse ZIP 97355
- Phone
- 5412590235
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.