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

Peter Mark Johnson

Individual provider Physician Assistant · NPI 1609956671

Peter Mark Johnson is a Physician Assistant in Seattle, Washington. Qualified in 2000, 26 years ago. Practices with The Association of University Physicians, a 3,459-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
26
Licensed in
WA
In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

Ambulatory Clinic 825 Eastlake Ave E
Seattle, WA 98109
Phone: (206) 288-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10004168 (WA)

Record details

NPI number1609956671
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 50095, Seattle, WA 98145-5095

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice The Association Of University Physicians — 3459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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