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Individual

DR. JEREMY DAVID JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., MPH

Contact information

Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-5584
(206) 720-7428
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
(206) 720-8462

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
62508-20
WI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD60358064
WA

Other

Enumeration date
06/13/2011
Last updated
07/24/2025
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