Johnston, Trisha
Johnston, Trisha is an individual health care provider with primary practice located at 1408 12Th Avenue , Longview WA 98632-3822. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Johnston, Trisha can be contacted via phone (360) 998-3050.Contact Information
Primary practice address
1408 12Th Avenue
Longview WA 98632-3822
Phone: (360) 998-3050
Fax: (360) 200-6736
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | CG60606829 | Washington |
Profile Details
| NPI number | 1457830457 |
|---|---|
| LBN Legal business name | Johnston, Trisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2018 |
| Last updated | Sep 8th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457830457 | NPPES |
| Washington | MEDICAID | 2140277 |
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