Individual
MEGAN BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60718607
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720440365
—
WA
01
—
8963266
MEDICARE PIN
WA
Enumeration date
03/23/2016
Last updated
10/30/2017
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