Individual
DR. DEANNA R JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3260 PROVIDENCE DR, SUITE 537, ANCHORAGE, AK 99508-4661
(907) 212-6900
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5503
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015428
—
AK
Enumeration date
07/14/2006
Last updated
07/20/2017
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