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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW WALLACE JOHNSON, DO

Active

MATTHEW WALLACE JOHNSON, DO is a Emergency Medicine healthcare provider located in BONNERS FERRY, Idaho. NPI 1225539182 is currently active in the NPPES registry. Verify at CMS.

Emergency Medicine · BONNERS FERRY, ID

Registration Details

NPI Number
1225539182
Provider Type
Individual
Gender
Male
NPI Issued
Feb 26, 2018 (8.438688444545 yrs)
Last Updated
Jul 15, 2025
Licenses
335074 (LA)
9171859 (ID)
9171859 (ID)

Practice Information

Address
6640 KANIKSU ST
BONNERS FERRY, ID, 838057532
Browse ID providers · Browse ZIP 83805
Phone
2082673141
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Internal Medicine
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in BONNERS FERRY, ID

Name Credential NPI
WILLIAM LAMONT WORDEN MD 1356326805
DR. KENTON BING-HOCK GOH MD 1972547172
ROBERT YOST MD 1265466361
STUART KENDALL WILLIS III MD 1679649396
MARK PRUITT D.O. 1124432943
DR. JACKSON JOSEPH BELL DO 1396208070
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.