SearchWashington163W00000X

Sage Johnson

NPI 1982528097 · on the registry since 2026

Practice

Address
4626 N Christensen Rd
Medical Lake, WA 99022
Phone
(901) 607-9176

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-10

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