Organization · NPI-2

Risewell Medical PLLC.

Family Medicine · Rochester, WA

NPI number1225949332
StatusActive
Last updated in NPPESSep 16, 2026

Details

NPI
1225949332
Entity type
Organization (NPI-2)
Legal business name
Risewell Medical PLLC.
Organization subpart
No
Enumeration date
Sep 16, 2026
Certification date
Sep 16, 2026
Last updated
Sep 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

7614 Creekside Ln Sw
Rochester, WA 98579-8687

Phone 360-269-5900 · Fax 360-282-0719

Mailing address

7614 Creekside Ln Sw
Rochester, WA 98579-8687

Phone 360-269-5900 · Fax 360-282-0719

Authorized official

Christine Lindsay Johnson
Owner/Operator
3602695900

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