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

Carol Eileen Johansen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881154847

Carol Eileen Johansen is a Family Practice in Colville, Washington. Graduated from University of Washington School of Medicine in 2019, 7 years ago. Practices with Colville Medical Center Ps, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1200 E Columbia Ave
Colville, WA 99114-3354
Phone: (509) 684-3701
Fax: (509) 684-5817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 624 E Front Ave, Spokane, WA 99202-2139 — (509) 626-9900

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61293717 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881154847
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2019
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing addressPo Box 421, Liberty Lake, WA 99019-0421

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Colville Medical Center Ps — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Colville