person
Mr. Jeffrey A Johnson, LCPO
Prosthetics Case Management in Walla Walla, Washington
NPI 1114914702

Jeffrey A Johnson is a Prosthetics Case Management based in Walla Walla, WA and is specialized in Prosthetics Case Management. Jeffrey A Johnson practices in Walla Walla, WA and has the professional credentials of LCPO. The NPI Number for Jeffrey A Johnson is 1114914702 and holds a License No. PS00000038 (Washington).

The current practice location address for Jeffrey A Johnson is 919 W Main St, Walla Walla, WA and can be reached out via phone at 509-525-8322 and via fax at 509-252-2982.

Location: 919 W Main St, Walla Walla, WA, 99362-0016
person
Provider Profile Details
NPI Number
1114914702
Provider Name
Jeffrey A Johnson
Credential
LCPO
Provider Entity Type
Individual
Gender
Male
Address
919 W Main St, Walla Walla, WA, 99362-0016
Phone Number
509-525-8322
Fax Number
509-252-2982
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164988 05 OR
9035353 05 WA
institution
Provider Business Practice Location Address Details
Address
919 W Main St
City
State
Zip
99362-2746
Phone Number
509-525-8322
Fax Number
509-252-2982
person
Provider Business Mailing Address Details
Address
919 W Main St
City
State
Zip
99362-2746
Phone Number
509-525-8322
Fax Number
509-252-2982
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
PS00000038 (Washington)
Definition
Definition to come...
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