Individual
JOHNNY STEPHEN BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
117 SPRUCE ST., ILWACO, WA 98624-0000
(360) 642-2662
(360) 642-2663
Mailing address
PO BOX 500, TOKELAND, WA 98590-0500
(360) 267-8138
(360) 267-6217
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OP00001380
WA
207Q00000X
Family Medicine Physician
Primary
OP00001380
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1077452
—
WA
01
—
25713
L & I
WA
Enumeration date
07/21/2006
Last updated
11/03/2015
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