Individual
MATTHEW K JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19245 7TH AVE NE, POULSBO, WA 98370-6551
(360) 782-3500
(360) 782-3540
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11014449
IN
207Q00000X
Family Medicine Physician
Primary
MD60220880
WA
Other
Enumeration date
07/08/2008
Last updated
02/11/2022
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