Individual
MARIAN ELAINE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
125 N 18TH ST, SUITE # B, MOUNT VERNON, WA 98273-3902
(360) 336-0123
(360) 336-0126
Mailing address
125 N 18TH ST, SUITE # B, MOUNT VERNON, WA 98273-3902
(360) 336-0123
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00035789
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8247710
—
WA
Enumeration date
05/05/2006
Last updated
04/13/2011
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