Provider Demographics
NPI:1386854974
Name:DEMPSTER, JOHN JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:DEMPSTER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2121 NE 139TH ST
Mailing Address - Street 2:MEDICAL OFFICE BUILDING A, SUITE 400
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98686-2316
Mailing Address - Country:US
Mailing Address - Phone:360-487-4707
Mailing Address - Fax:360-487-4709
Practice Address - Street 1:2121 NE 139TH ST
Practice Address - Street 2:MEDICAL OFFICE BUILDING A, SUITE 400
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686-2316
Practice Address - Country:US
Practice Address - Phone:360-487-4707
Practice Address - Fax:360-487-4709
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2015-04-17
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Provider Licenses
StateLicense IDTaxonomies
WAMD601709892084N0400X
ORMD283042084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology