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Carol Eileen Johansen
Family Medicine Physician in Colville, Washington
NPI 1881154847

Carol Eileen Johansen is a Family Medicine Physician based in Liberty Lake, WA. Carol Eileen Johansen practices in Colville, WA. The NPI Number for Carol Eileen Johansen is 1881154847 and holds a License No. (Washington).

The current practice location address for Carol Eileen Johansen is 1200 E Columbia Ave, Colville, WA and can be reached out via phone at 509-684-3701 and via fax at 509-684-5817.

Location: 1200 E Columbia Ave, Colville, WA, 99019-0421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881154847
Provider Name
Carol Eileen Johansen
Credential
Provider Entity Type
Individual
Gender
Female
Address
1200 E Columbia Ave, Colville, WA, 99019-0421
Phone Number
509-684-3701
Fax Number
509-684-5817
Provider Enumeration Date
03/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1200 E Columbia Ave
City
Colville
State
Washington
Zip
99114-3354
Phone Number
509-684-3701
Fax Number
509-684-5817
person
Provider Business Mailing Address Details
Address
1200 E Columbia Ave
City
Colville
State
Washington
Zip
99114-3354
Phone Number
509-684-3701
Fax Number
509-684-5817
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD61293717 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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