Philip Johnston

NPI 1871867796 · on the registry since 2012 · sole proprietor

Practice

Address: 2530 Rudkin Rd
Union Gap, WA 98903
Phone: (509) 248-9567
Fax: (509) 453-0079
Organisation at this address: Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 183500000X
183500000X
Licence states on file: WA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-02-24

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