Individual
STEPHEN C. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 MONTLAKE BLVD, SEATTLE, WA 98195-0001
(206) 598-1534
(206) 598-3140
Mailing address
3800 MONTLAKE BLVD, PO BOX 50095, SEATTLE, WA 98195-0007
(206) 520-5700
(206) 598-3140
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MD 60301821
WA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD60301821
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487971693
—
WA
Enumeration date
04/27/2010
Last updated
07/22/2016
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