Provider Demographics
NPI:1366467722
Name:JOHNSON, GREG SINDING (DO)
Entity Type:Individual
Prefix:MR
First Name:GREG
Middle Name:SINDING
Last Name:JOHNSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:555 DAYTON STREET
Mailing Address - Street 2:STE C
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:92083-3476
Mailing Address - Country:US
Mailing Address - Phone:425-774-4673
Mailing Address - Fax:425-774-0690
Practice Address - Street 1:555 DAYTON STREET
Practice Address - Street 2:STE C
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:92083-3476
Practice Address - Country:US
Practice Address - Phone:425-774-4673
Practice Address - Fax:425-774-0690
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2008-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAOP 000008222084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry