IndividualActive
Adam-Omar Johnson
NPI 1639881667 · Registered Nurse · Kent, WA
Provider details
- NPI number
- 1639881667
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- RN60641202 (WA)
Specialties & taxonomies
Nursing Service Providers
Practice location
505 Washington Ave S
Kent, WA 98032-5709
Phone: (253) 833-7444
Approximate (ZIP-level) locationGet directions
Mailing address
325 W Gowe St
Kent, WA 98032-5892
Registry dates
- Enumerated
- 2022-12-21
- Last updated
- 2022-12-21
- Certified
- 2022-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.