Search › Washington › 101YA0400X
Stacy Johnson
NPI 1235684408 · on the registry since 2016 · sole proprietor
Practice
- Address
- 1307 S 11th St
Tacoma, WA 98405 - Phone
- (253) 682-2180
- Organisation at this address
- K-Y Surgical Assoc
Sea-Mar Community Health Center
Sea Mar Community Health Centers
Sea Mar Community Health Centers
Sea Mar Community Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Additional practice sites
- 17002 Pacific Ave S, Spanaway, WA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 252Y00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-25
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