DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DELISHA M JOHNSON PAC

MEDICARE: DELISHA M JOHNSON PAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA10004048WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114030566
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELISHA M JOHNSON PAC
Provider Business Mailing Address
First Line : PO BOX 960
Second Line :
City : BREMERTON
State : WA
Zip : 98337
Country : US
Telephone Number : 360-478-2366
Fax Number : 360-373-2096
Provider Business Practice Location Address
First Line : 320 S KITSAP BLVD
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3778
Country : US
Telephone Number : 360-876-7215
Fax Number : 360-876-6721
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 02/09/2011

Similar Medicare Providers

1538949698 — MARIAH JANE HILL PA-C
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-377-3776
Practice Fax:
1225224470 — CLAUDIA C SLOAN M.D.
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-377-3776
Practice Fax:
1982695128 — REGINA B BONNEVIE-ROGERS MD
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-876-7215
Practice Fax: 360-876-6721
1205886934 — PENINSULA COMMUNITY HEALTH SERVICES
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-377-3776
Practice Fax: 360-876-6721
1588675623 — PENINSULA COMMUNITY HEALTH SERVICES
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-874-5583
Practice Fax: 360-895-5654
1225143670 — DR. ANN BRIDGES BRUCE MD
Practice Location Address:
320 S KITSAP BLVD
PORT ORCHARD, WA
98366-3778
Practice Phone: 360-377-3776
Practice Fax:

Directions to “ DELISHA M JOHNSON PAC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.