NPI 1225298797

Alicia Katherine Johnson, LMP

Practitioner Point of Service Battle Ground, WA

Practice location

Address: 1207 SE Rasmussen Blvd STE 111, Battle Ground, WA 98604-8618
Phone: (360) 607-7368

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence MA00024163 (WA)

Other Point of Service providers in Washington →

Registry record

NPI: 1225298797
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2008
Record last updated: 1 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.