Individual
MR. CHRIS DOUGLAS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, MS:X6-ORT, SEATTLE, WA 98101-2756
(206) 223-7530
Mailing address
1100 9TH AVE, MS:M4-PFS, SEATTLE, WA 98101-2756
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10046
MN
363A00000X
Physician Assistant
Primary
2120-023
WI
363AS0400X
Surgical Physician Assistant
PA60468333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992753875
—
WI
05
—
2284707000
—
MN
Enumeration date
05/04/2006
Last updated
03/01/2016
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