Matthew Johnson, PHYSICIAN ASSISTANT
NPI #1053870717 in Longview, Washington
Provider Information
- NPI Number
- 1053870717
- Entity Type
- Individual
- Name
- Matthew Johnson, PHYSICIAN ASSISTANT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PHYSICIAN ASSISTANT
- Enumeration Date
- Mar 12, 2019
- Last Updated
- Mar 24, 2021
Practice Location
- Address
- 1615 DELAWARE ST
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2367
- Phone
- (360) 414-2730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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