Individual provider · Type 1 NPI

John G. Mickelson, DO

Family Medicine Physician · Lincoln City, OR

NPI number 1497773097 Active

Practice location

2930 NE West Devils Lake Rd Ste 3
Lincoln City, OR 97367-5195

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations

  • 3838 12th Ave N, Fargo, ND 58102-2931 · (701) 234-4700

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X34645 (MN)
Occupational Medicine Physician 2083X0100X6205 (ND)
Family Medicine Physician Primary 207Q00000XDO226460 (OR)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1497773097

John G. Mickelson, DO's National Provider Identifier is 1497773097, issued on Jul 18, 2006. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Lincoln City, OR. The record was last updated on Sep 4, 2025.