Individual provider · Type 1 NPI
Kathlyn Marie Johnson, LMP
Specialist · Vancouver, WA
NPI number
1447476510
Active
Practice location
1815 D St
Vancouver, WA 98663-3332
Mailing address
10608 NE 36th Ave
Vancouver, WA 98686-4333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00017681 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1447476510
Kathlyn Marie Johnson, LMP's National Provider Identifier is 1447476510, issued on Apr 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Vancouver, WA. The record was last updated on Jul 8, 2007.