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Active NPI 1114914702 Individual Practitioner Male Practitioner

Jeffrey A Johnson , LCPO

Specialist - Prosthetics Case Management • Walla Walla, WA

Professional Overview & Biography Verified Profile Summary

Jeffrey Johnson, LCPO is a registered healthcare professional specializing in Specialist - Prosthetics Case Management in Walla Walla, WA. Practice services are available at 919 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

919 W Main St

Walla Walla, WA 993622746

Telephone 5095258322
Fax 5092522982
Associated Practice Facility / Clinic
🏢 Columbia Basin Prosthetics & Orthotics, Inc Facility NPI 1629301619

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist - Prosthetics Case Management in Walla Walla, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Walla Walla, WA (22 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist - Prosthetics Case Management Primary Specialty

NUCC Taxonomy Code: 1744P3200X

State License WA PS00000038

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
164988 (OR)
Medicaid State Provider ID
9035353 (WA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2008

Registered at 919 W MAIN ST, WALLA WALLA, WA 993622746 (Tel: 5095258322)

📍
Updated Business Mailing Address July 10, 2008

Registered at PO BOX 662, WALLA WALLA, WA 993620016 (Tel: 5095258322)

👤
Provider Name / Credentials Updated July 10, 2008

Recorded as JEFFREY JOHNSON, LCPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2008

Specialist (License #PS00000038 in WA)

🟢
Initial NPI Registration & Enumeration September 29, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114914702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2005
Last Update: July 10, 2008
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

Po Box 662

Walla Walla, WA 993620016

Phone: 5095258322

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.