Individual
DAVID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-6830
(360) 947-2550
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61076546
WA
Other
Enumeration date
04/24/2015
Last updated
08/31/2022
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