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Individual

MRS. JENEECA CHRISTINA JOHNSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
4112 HARBOUR POINTE BLVD SW STE 100, MUKILTEO, WA 98275-5457
(425) 347-6330
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 747-2455

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61185995
WA
390200000X
Student in an Organized Health Care Education/Training Program
AZ

Other

Enumeration date
01/23/2018
Last updated
11/19/2022
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