Individual
BRUCE C. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
748 SE FAIRWINDS LOOP, VANCOUVER, WA 98661-8087
(360) 695-8476
(360) 567-3033
Mailing address
748 SE FAIRWINDS LOOP, VANCOUVER, WA 98661-8087
(360) 695-8476
(360) 567-3033
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00028574
WA
Other
Enumeration date
04/16/2007
Last updated
11/22/2011
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