IndividualActive
Kaj Johansen, MD
NPI 1366491045 · Vascular Surgery Physician · Seattle, WA
Provider details
- NPI number
- 1366491045
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00016486 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
600 Broadway Ste 112
Seattle, WA 98122-5381
Phone: (206) 420-3119
Fax: (206) 453-5912
Street-level locationGet directions
Mailing address
Po Box 22152
Seattle, WA 98122-0152
Additional practice locations (1)
- 574 N 5th AveSequim, WA 98382-3079Phone: (206) 420-3119Fax: (206) 453-5912
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2019-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.