Individual
DR. PHILIP JOHNSON
Active
Individual
DR. PHILIP JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD07941
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263632
—
OR
01
—
76173
WA L & I
—
05
—
8280059
—
WA
01
—
A011
CHAMPUS
—
01
—
D86793
PROVIDENCE
—
01
—
J0475-07
PACIFIC SOURCE
—
05
—
XPY185065
—
CA
Enumeration date
06/06/2006
Last updated
07/13/2026
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