Individual
MATTHEW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 414-2730
(360) 414-2739
Mailing address
900 OCEAN BEACH HWY STE 110, LONGVIEW, WA 98632-4171
(360) 648-8860
(360) 648-8865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
03/12/2019
Last updated
03/24/2021
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