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

Michael Johnson, PA

Individual provider Physician Assistant · NPI 1669931705

Michael Johnson, PA is a Physician Assistant in Moses Lake, Washington. Qualified in 2019, 7 years ago. Practices with Waterfall Clinic Incorporated, a 17-clinician group. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

840 E Hill Ave
Moses Lake, WA 98837-2238
Phone: (509) 663-8711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61018488 (WA)

Record details

NPI number1669931705
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 18, 2019
Last updated in NPPESApril 2, 2020
Certification dateApril 2, 2020
Mailing address820 N Chelan Ave, Wenatchee, WA 98801-2028

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Waterfall Clinic Incorporated — 17 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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