Individual
JOHNATHAN HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11311 BRIDGEPORT WAY SW STE 207, LAKEWOOD, WA 98499-3051
(253) 272-8664
(253) 627-7880
Mailing address
11311 BRIDGEPORT WAY SW STE 207, LAKEWOOD, WA 98499-3051
(253) 272-8664
(253) 627-7880
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD61132712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2180700
—
WA
Enumeration date
04/01/2015
Last updated
09/16/2021
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