Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Rene Lawrence Johnson, PA-C

Individual provider Physician Assistant · NPI 1962284190

Rene Lawrence Johnson, PA-C is a Physician Assistant in Tacoma, Washington. Qualified in 2024, 2 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1708 Yakima Ave
Tacoma, WA 98405-5307
Phone: (831) 334-7966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1962284190
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2023
Last updated in NPPESSeptember 20, 2024
Certification dateSeptember 20, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Franciscan Medical Group — 1417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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