Provider Demographics
NPI:1487697355
Name:WATKINS, JOHN F (PHD, MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:WATKINS
Suffix:
Gender:M
Credentials:PHD, MD
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Mailing Address - Street 1:407 N COAST HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:OR
Mailing Address - Zip Code:97365-3117
Mailing Address - Country:US
Mailing Address - Phone:541-270-8966
Mailing Address - Fax:541-265-8007
Practice Address - Street 1:407 N COAST HWY STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:OR
Practice Address - Zip Code:97365-3117
Practice Address - Country:US
Practice Address - Phone:541-270-8966
Practice Address - Fax:541-265-8007
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2015-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD22558207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORH15736Medicare UPIN