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SUSAN JOHNSON MD LLC NPI 1952330631


NPI Information

NPI: 1952330631
Provider Name: SUSAN JOHNSON, MD LLC

Doing Business As: JOHNSON CENTER FOR PELVIC HEALTH

Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Organization

Specialization: Gynecology

Address:
2209 LLOYD CTR
PORTLAND, OR
ZIP 97232
Phone: (503) 345-9339
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SUSAN JOHNSON, MD LLC is a gynecology obstetrics gynecology in Portland, OR. SUSAN JOHNSON, MD LLC NPI is 1952330631. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Johnson Center For Pelvic Health.

The provider's business location address is:

2209 LLOYD CTR
PORTLAND, OR
ZIP 97232-315
Phone: (503) 345-9339
Fax: (503) 345-9339

The provider's authorized official is Susan Harrington Johnson .
The authorized official title is Manager and has the following contact phone number (503) 345-9339.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 4/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyMD17446OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R114592MEDICARE PINOREGON
2F05542MEDICARE UPINOREGON
38145617MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.