Individual
DR. LAURA SCHELLENBERG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12040 NE 128TH ST # MS 105, KIRKLAND, WA 98034-3013
(425) 899-2560
(425) 899-2079
Mailing address
12040 NE 128TH ST, KIRKLAND, WA 98034-3013
(425) 899-1040
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
MD00043961
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200320
LABOR & INDUSTRIES
WA
Enumeration date
11/16/2005
Last updated
10/19/2018
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