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Peder Johnson, MD
Student in an Organized Health Care Education/Training Program in Renton, Washington
NPI 1992491229

Peder Johnson is a Student in an Organized Health Care Education/Training Program based in Renton, WA. Peder Johnson practices in Renton, WA and has the professional credentials of MD. The NPI Number for Peder Johnson is 1992491229 and holds a License No. (Washington).

The current practice location address for Peder Johnson is 3915 Talbot Rd S Ste 401, Renton, WA and can be reached out via phone at 425-690-3445 and via fax at 425-690-9445.

Location: 3915 Talbot Rd S Ste 401, Renton, WA, 98055-5738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992491229
Provider Name
Peder Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3915 Talbot Rd S Ste 401, Renton, WA, 98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
Provider Enumeration Date
04/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3915 Talbot Rd S Ste 401
City
Renton
State
Washington
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider Business Mailing Address Details
Address
3915 Talbot Rd S Ste 401
City
Renton
State
Washington
Zip
98055-5738
Phone Number
425-690-3445
Fax Number
425-690-9445
person
Provider's Taxonomy Details 1
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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