Individual
NATASHA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3101 SE 192ND AVE STE 106, VANCOUVER, WA 98683-1443
(360) 553-7400
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61514281
WA
Other
Enumeration date
09/04/2023
Last updated
04/19/2024
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