Individual
MARTHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4433 35TH AVE SW, SEATTLE, WA 98126-5391
(136) 048-5856
Mailing address
11040 CHARM RD SE # A, RAINIER, WA 98576-9703
(253) 287-1256
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
NC61101156
WA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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