Individual
DR. JILL M JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 543-3360
(206) 543-3560
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00049045
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0150792
L&I
WA
05
—
1861578718
—
WA
Enumeration date
10/31/2006
Last updated
03/20/2013
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