Individual
ALLEN L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1990 HOSPITAL DR, SUITE 200, SEDRO WOOLLEY, WA 98284-9315
(360) 856-4222
(360) 854-2792
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00031995
WA
208M00000X
Hospitalist Physician
MD00031995
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8181331
—
WA
05
—
8205072
—
WA
Enumeration date
03/08/2006
Last updated
07/14/2015
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