person
Mr. Patrick Alan Johnson, RDLD
Metabolic Nutrition Registered Dietitian in Olympia, Washington
NPI 1225380629

Patrick Alan Johnson is a Metabolic Nutrition Registered Dietitian based in Olympia, WA and is specialized in Nutrition, Metabolic. Patrick Alan Johnson practices in Olympia, WA and has the professional credentials of RDLD. The NPI Number for Patrick Alan Johnson is 1225380629 and holds a License No. DI60312524 (Washington).

The current practice location address for Patrick Alan Johnson is 1115 W Bay Dr Nw, Olympia, WA and can be reached out via phone at 360-570-8010 and via fax at 360-570-8009. You can also correspond with Patrick Alan Johnson through the mailing address at 800 YAUGER WAY SW, OLYMPIA, WA - 98502-8908 (mailing address contact number: 419-610-1820).

Location: 1115 W Bay Dr Nw, Olympia, WA, 98502-8908
person
Provider Profile Details
NPI Number
1225380629
Provider Name
Patrick Alan Johnson
Credential
RDLD
Provider Entity Type
Individual
Gender
Male
Address
1115 W Bay Dr Nw, Olympia, WA, 98502-8908
Phone Number
360-570-8010
Fax Number
360-570-8009
Provider Enumeration Date
10/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DI60312524 01 WASHINGTON DIETITIAN LICENSURE
institution
Provider Business Practice Location Address Details
Address
1115 W Bay Dr Nw
City
State
Zip
98502-4658
Phone Number
360-570-8010
Fax Number
360-570-8009
person
Provider Business Mailing Address Details
Address
1115 W Bay Dr Nw
City
State
Zip
98502-4658
Phone Number
360-570-8010
Fax Number
360-570-8009
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
DI60312524 (Washington)
Definition
Definition to come...
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