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Individual

COURTNEY LOIS JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4011 TALBOT RD S STE 500, RENTON, WA 98055-5782
(425) 690-3482
(425) 690-9082
Mailing address
3600 LIND AVE SW STE 100, RENTON, WA 98057-4970
(425) 690-2715

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60879450
WA

Other

Enumeration date
06/28/2018
Last updated
07/25/2023
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