MR. Robert Johansen, PA-C

NPI #1639452618 in Omak, Washington

Provider Information

NPI Number: 1639452618
Entity Type: Individual
Name: MR. Robert Johansen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 26, 2011
Last Updated: Sep 10, 2015

Practice Location

Address: 529 JASMINE ST
City: Omak
State: Washington
ZIP Code: 98841-9589
Phone: (509) 826-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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