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

AMANDA M JOHNSON, D.O.

Active

AMANDA M JOHNSON, D.O. is a Family Medicine healthcare provider located in PORTLAND, Oregon. NPI 1073046330 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PORTLAND, OR

Registration Details

NPI Number
1073046330
Provider Type
Individual
Gender
Female
NPI Issued
Apr 4, 2017 (9.3391756703499 yrs)
Last Updated
Feb 24, 2025
Licenses
DR.0061848 (CO)
DO222716 (OR)
DR.0061848 (CO)
DO222716 (OR)

Practice Information

Address
4805 NE GLISAN ST
PORTLAND, OR, 972132933
Browse OR providers · Browse ZIP 97213
Phone
5032152392
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Hospitalist
Additional Specialty
Hospitalist
Additional Specialty
Family Medicine

Other Family Medicine Providers in PORTLAND, OR

Name Credential NPI
MELANIE J SMYTHE DO 1043214471
DR. BRYAN DEAN WALLS D.O. 1710982129
KAREN R COOPER D.O. 1487646238
MS. SHAUNA L ENSMINGER MD 1619960002
MARINA MEZEY MD 1346234606
JOHN TAKACS DO 1215921374
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.