Search › Washington › 101YA0400X
Sidney Johnson, SUDPT
NPI 1336885201 · on the registry since 2022
Practice
- Address
- 15837 Otter Pond Dr
Mount Vernon, WA 98273 - Phone
- (907) 227-6009
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington