IndividualActive
John Fong, PA
NPI 1013929959 · Physician Assistant · Portland, OR
Provider details
- NPI number
- 1013929959
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- PA00295 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2210 Se Steele Street
Portland, OR 97202
Phone: (503) 231-0014
Fax: (503) 233-1592
Approximate (ZIP-level) locationGet directions
Mailing address
14711 Ne 20th Cir
Vancouver, WA 98684-7826
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.