Individual
DR. SUSAN H. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
34503 9TH AVE S, STE 330, FEDERAL WAY, WA 98003-8726
(253) 383-3695
(253) 661-1987
Mailing address
34503 9TH AVE S, STE 330, FEDERAL WAY, WA 98003-8726
(253) 383-3695
(253) 661-1987
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
MD17446
OR
207VG0400X
Gynecology Physician
Primary
MD60287595
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0296298
STATE L&I
WA
01
—
160059803
RAILROAD MEDICARE
OR
05
—
8145617
—
OR
Enumeration date
07/07/2006
Last updated
09/12/2012
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