Individual provider · Type 1 NPI
Jeffrey A. Johnson, LCPO
Prosthetics Case Management · Walla Walla, WA
NPI number
1114914702
Active
Practice location
919 W Main St
Walla Walla, WA 99362-2746
Fax (509) 252-2982
Mailing address
PO Box 662
Walla Walla, WA 99362-0016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | PS00000038 (WA) |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Another provider at this address
About NPI 1114914702
Jeffrey A. Johnson, LCPO's National Provider Identifier is 1114914702, issued on Sep 29, 2005. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Walla Walla, WA. The record was last updated on Jul 10, 2008.