Individual
DR. NOEL THEODORE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
Mailing address
PO BOX 5730, LYNNWOOD, WA 98046-5730
(425) 742-5512
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
OP00001006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017672
—
WA
Enumeration date
10/28/2005
Last updated
04/20/2015
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