IndividualActive
Craig Johnson, DO
NPI 1578219481 · General Practice Physician · Tacoma, WA
Provider details
- NPI number
- 1578219481
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0102208397 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone: (253) 968-1790
Approximate (ZIP-level) locationGet directions
Mailing address
9040 Jackson Ave
Tacoma, WA 98431-0001
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2024-01-16
- Certified
- 2024-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.