NPI 1831830694 · live from the CMS NPI Registry
Cassidy Johnston, DO
Dermatology in Salem, OR. National Provider Identifier 1831830694, active.
NPI record
| NPI | 1831830694 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 1793 13th St Se, Salem, OR 97302 |
| Practice phone | 866-599-3376 |
| Enumerated | April 5, 2022 |
| Last updated | August 4, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology | 207N00000X | DO.OP.61466895 (WA) |
| Dermatology primary | 207N00000X | DO214776 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.