Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | NT00000606 | WA |
NPI | 1134388655 |
---|---|
Provider Name | Dr. Allen James Johnson |
First Address | Everett, WA 98204-2694 |
Second Address | Seattle, WA 98103-6902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2008 |
Last Update Date | 09/06/2008 |