Individual
MATTHEW RYAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP, RN
Contact information
Practice address
10 ROS CIR, REPUBLIC, WA 99166-5002
(509) 775-3153
(509) 775-8929
Mailing address
53A PETES RETREAT RD, REPUBLIC, WA 99166-9541
(425) 268-3587
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60972676
WA
363LF0000X
Family Nurse Practitioner
Primary
AP61351549
WA
Other
Enumeration date
08/01/2022
Last updated
09/04/2022
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