Healthcare Provider Details

I. General information

NPI: 1134388655
Provider Name (Legal Business Name): ALLEN JAMES JOHNSON ND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 06/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2106 N 45TH ST
SEATTLE WA
98103-6902
US

IV. Provider business mailing address

9023 11TH PL W
EVERETT WA
98204-2694
US

V. Phone/Fax

Practice location:
  • Phone: 360-268-1603
  • Fax: 360-268-1683
Mailing address:
  • Phone: 425-347-1740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT00000606
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: