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NPI Code Detail

MEDICARE: JOHN EDWARD BOHLMAN M.D.

MEDICARE: JOHN EDWARD BOHLMAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD13421OR
2207R00000XInternal Medicine PhysicianMD13421OR

General Provider Information

NPI Number : 1679649230
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN EDWARD BOHLMAN M.D.
Provider Business Mailing Address
First Line : 2870 NE WEST DEVILS LAKE RD
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-5127
Country : US
Telephone Number : 541-994-9191
Fax Number : 541-994-9034
Provider Business Practice Location Address
First Line : 2870 NE WEST DEVILS LAKE RD
Second Line :
City : LINCOLN CITY
State : OR
Zip : 97367-5127
Country : US
Telephone Number : 541-994-9191
Fax Number : 541-994-9034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2006
Last Update Date : 09/11/2025

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Directions to “ JOHN EDWARD BOHLMAN M.D.” Practice Location

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