Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD60229218 | WA |
Y | 111NI0900X | Internist | MD60229218 | WA |
N | 207RG0300X | Geriatric Medicine | G058563 | CA |
N | 207RG0300X | Geriatric Medicine | MD60229218 | WA |
N | 207RH0002X | Hospice and Palliative Medicine | MD60229218 | WA |
NPI | 1396779534 |
---|---|
Provider Name | Dr. Catherine Bree Johnston |
First Address | Bellingham, WA 98225-8358 |
Second Address | Mount Vernon, WA 98274-4126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 17/01/2022 |