Individual
MRS. MARIANNE STEWART JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17900 TALBOT RD S, SUITE 101, RENTON, WA 98055-8212
(425) 235-9614
Mailing address
PO BOX 826, BLACK DIAMOND, WA 98010-0826
(425) 235-9614
(425) 235-1060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60105502
WA
Other
Enumeration date
07/28/2009
Last updated
11/30/2017
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