Individual
DR. KAJ JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 BROADWAY STE 112, SEATTLE, WA 98122-5381
(206) 420-3119
(206) 453-5912
Mailing address
PO BOX 22152, SEATTLE, WA 98122-0152
(206) 420-3119
(206) 453-5912
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00016486
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8400103
—
WA
Enumeration date
05/09/2006
Last updated
05/03/2019
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