MEDICARE: DR. AMELIA JOHNSTON DO

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207V00000X	Obstetrics & Gynecology Physician	OP61662925	WA

General Provider Information

NPI Number	:	1407437882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMELIA JOHNSTON DO

Provider Business Mailing Address
First Line	:	1959 NE PACIFIC ST BOX 356460
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-0001
Country	:	US
Telephone Number	:	206-221-8105
Fax Number	:

Provider Business Practice Location Address
First Line	:	1959 NE PACIFIC ST BOX 356460
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98195-1009
Country	:	US
Telephone Number	:	206-221-8105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2021
Last Update Date	:	08/21/2025

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Directions to “ DR. AMELIA JOHNSTON DO” Practice Location

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