SearchWashington363A00000X

Matthew Johnson, PHYSICIAN ASSISTANT

NPI 1053870717 · on the registry since 2019

Practice

Address
1615 Delaware St
Longview, WA 98632
Phone
(360) 414-2730
Fax
(360) 414-2739
Organisation at this address
Peacehealth
Peacehealth
Peacehealth
Peacehealth
Peacehealth
Inferred from a shared address, not stated in the registry.
Clinicians at this address
261

Additional practice sites

  • 3240 Fort Rd, Toppenish, WA
  • 900 Ocean Beach Hwy Ste 110, Longview, WA

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington