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MR. JEFFREY A JOHNSON LCPO
NPI 1114914702
Specialist - Prosthetics Case Management in Walla Walla, WA

Active since September 29, 2005
919 W MAIN ST, WALLA WALLA, WA 99362(509) 525-8322(509) 252-2982 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jeffrey A Johnson Lcpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY A JOHNSON LCPO (NPI 1114914702) is an individual prosthetics case management provider in Walla Walla, Washington, licensed in Washington (PS00000038) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1114914702
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameMR. JEFFREY A JOHNSONCredential: LCPO
Location Address919 W MAIN STWalla Walla, WA 99362-2746
Mailing AddressPo Box 662Walla Walla, WA 99362-0016 · (509) 525-8322 · Fax (509) 525-2982
Phone(509) 525-8322
Fax(509) 252-2982
Sole ProprietorYes
Enumeration DateSeptember 29, 2005
Last NPPES UpdateJuly 10, 2008
✔ NPI 1114914702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in WA · PS00000038
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

919 W MAIN ST, Walla Walla, WA 99362
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Other Identifiers 3

Medicaid164988OR
Medicare NSC0210110001WA
Medicaid9035353WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLUMBIA BASIN PROSTHETICS & ORTHOTICS, INC
Prosthetic/Orthotic Supplier
919 W MAIN ST
WALLA WALLA, WA 99362
Walla Walla County (509) 525-8322

Frequently Asked Questions

What is Jeffrey Johnson's NPI number?

The NPI number assigned to this healthcare provider is 1114914702, enumerated as an "individual" on September 29, 2005.

Where is the provider located?

The provider is located at 919 W MAIN ST WALLA WALLA, WA 99362 and the phone number is (509) 525-8322.

What is the provider's specialty?

Specialist with taxonomy code 1744P3200X and a focus in Prosthetics Case Management.

What insurance does Jeffrey Johnson accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.