IndividualActive
Andrew Johnson, MPAS, PA-C
NPI 1508069980 · Physician Assistant · Portland, OR
Provider details
- NPI number
- 1508069980
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MPAS, PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA01300 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3181 Sw Sam Jackson Park Rd # L-605
Portland, OR 97239-3011
Phone: (503) 494-2265
Fax: (503) 494-7664
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd # L-605
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2007-06-06
- Last updated
- 2015-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.