Individual provider · Type 1 NPI

Tyler Kenneth Johnson, DO

Military Health Care Provider · Lebanon, OR

NPI number 1073226452 Active

Practice location

200 Mullins Dr
Lebanon, OR 97355-3983

Call (541) 259-0235 Map

Mailing address

101 Bodin Cir
Fairfield, CA 94535-1809

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

171 other providers at this address

About NPI 1073226452

Tyler Kenneth Johnson, DO's National Provider Identifier is 1073226452, issued on Jan 2, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Lebanon, OR. The record was last updated on Jun 18, 2025.