Individual
DR. JOHNETTE BARNES MAEHREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1717 SOUTH J. STREET, TACOMA, WA 98405
(253) 426-6076
(253) 426-6954
Mailing address
1717 SOUTH J. STREET, TACOMA, WA 98405
(253) 426-6076
(253) 426-6954
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OP00001459
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8160764
—
WA
Enumeration date
08/30/2006
Last updated
11/15/2012
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