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Search › Washington › 101YA0400X

Glenn Johnson

NPI 1952296675 · on the registry since 2025 · sole proprietor

Practice

Address
12607 Se Mill Plain Blvd
Vancouver, WA 98684
Phone
(360) 859-6491
Fax
(360) 896-4478
Organisation at this address
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address
158

Additional practice sites

  • 500 Ne Multnomah St Ste 100, Portland, OR

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2026-06-17

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