Individual
KATIE ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
5411 E MILL PLAIN BLVD STE 28, VANCOUVER, WA 98661-7046
(360) 852-9092
Mailing address
5600 NE 84TH AVE, VANCOUVER, WA 98662-6282
(360) 719-8368
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN60654273
WA
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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