Individual
DR. CHARLES RICHARD JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 OLIVE WAY, 1334, SEATTLE, WA 98101-1743
(206) 682-4061
Mailing address
509 OLIVE WAY, 1334, SEATTLE, WA 98101-1720
(206) 682-4061
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00008567
WA
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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