Johnson, Jason Russell

Johnson, Jason Russell is an individual health care provider with primary practice located at 9330 59Th Ave Sw , Lakewood WA 98499-2858. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Johnson, Jason Russell can be contacted via phone (253) 620-5015.

Contact Information

Primary practice address
9330 59Th Ave Sw Lakewood WA 98499-2858
Fax: (253) 620-5831
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP60642223 Washington

Profile Details

NPI number 1568739100
LBN Legal business name Johnson, Jason Russell
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2011
Last updated Apr 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers