Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bruce C. Johnson, MD

Individual provider Psychiatry Physician · NPI 1104041813

Bruce C. Johnson, MD is a Psychiatry Physician in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

748 SE Fairwinds Loop
Vancouver, WA 98661-8087
Phone: (360) 695-8476
Fax: (360) 567-3033
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD00028574 (WA)

Record details

NPI number1104041813
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESNovember 22, 2011
Mailing address748 Se Fairwinds Loop, Vancouver, WA 98661-8087

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