Individual
DR. COURTNEY ROSE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3623 SW ALASKA ST, SUITE 7, SEATTLE, WA 98126
(360) 440-8376
(360) 474-3927
Mailing address
3623 SW ALASKA ST STE 7, SEATTLE, WA 98126-2732
(206) 278-3930
(360) 474-3947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00037773
WA
207Q00000X
Family Medicine Physician
MD00037773
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
176500
L&I
WA
01
—
5319WI
REGENCE BLUESHIELD
—
01
—
7094279
AETNA
—
05
—
8270597
—
WA
Enumeration date
08/25/2006
Last updated
10/01/2020
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