Individual
DR. GERMAINE RICHARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
M-12248
ID
207U00000X
Nuclear Medicine Physician
MD60105377
WA
2085R0202X
Diagnostic Radiology Physician
M-12248
ID
2085R0202X
Diagnostic Radiology Physician
MD208252
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD60105377
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033220298
—
ID
05
—
2006877
—
WA
01
—
288918
LNI PROVIDER ID
WA
Enumeration date
08/31/2006
Last updated
09/25/2025
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