Healthcare Provider Details

I. General information

NPI: 1386854974
Provider Name (Legal Business Name): JOHN DEMPSTER JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3838 N CAMPBELL AVE
TUCSON AZ
85719-1454
US

IV. Provider business mailing address

2121 NE 139TH ST MEDICAL OFFICE BUILDING A, SUITE 400
VANCOUVER WA
98686-2316
US

V. Phone/Fax

Practice location:
  • Phone: 520-694-8888
  • Fax: 520-694-0502
Mailing address:
  • Phone: 360-487-4707
  • Fax: 360-487-4709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD28304
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number79648
License Number StateAZ
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD60170989
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: