Individual
DR. DAVID ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2000
(360) 514-6219
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2019014131
MO
2085R0202X
Diagnostic Radiology Physician
Primary
MD61068226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0428383
L&I-RADIA REST OF WA
WA
01
—
0428384
L&I-RADIA KING CTY
WA
01
—
0428385
L&I-SWEDISH RADIA EDMONDS
WA
01
—
0428386
L&I-EVERGREEN RADIA
WA
01
—
0428387
L&I-SOUTH SOUND RADIOLOGY
WA
01
—
0428388
L&I-SEATTLE RADIOLOGY
WA
01
—
0428389
L&I-VANCOUVER RADIOLOGY
WA
05
—
200068612
—
MO
05
—
2163131
—
WA
Enumeration date
03/29/2014
Last updated
12/10/2020
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