Individual
MR. EVAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.P.A.
Contact information
Practice address
1315 S 72ND ST, TACOMA, WA 98408-3013
(253) 507-7231
(253) 507-7690
Mailing address
1315 S 72ND ST, TACOMA, WA 98408-3013
(253) 507-7231
(253) 507-7690
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/08/2013
Last updated
05/01/2014
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