Individual
CHERIE H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3131 NASSAU ST, SUITE #101, EVERETT, WA 98201-4137
(425) 339-8888
(425) 258-6933
Mailing address
3131 NASSAU ST, SUITE #101, EVERETT, WA 98201-4137
(425) 339-8888
(425) 258-6933
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO00000583
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104322
—
WA
01
—
120018
WORKER'S COMPENSATION
WA
01
—
5996724
AETNA U.S. HEALTHCARE
WA
01
—
J01543
REGENCE BLUESHIELD
WA
Enumeration date
02/23/2006
Last updated
01/10/2008
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