JORDAN BLAKE JOHNSON (NPI# 1629336029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629336029 |
| Entity Type | Individual |
| Full Name | JORDAN BLAKE JOHNSON |
| Credential | M.D. |
| Practice Address |
707 Sw Washington St Ste 700 Portland OR 97205-3523 |
| Mailing Address |
Po Box 35147 #1801 Seattle WA 98124-5147 |
| Practice Telephone | 5032999906 |
| Practice Fax Number | 5032259002 |
| Mailing Telephone | 5032999906 |
| Mailing Fax Number | 5032259002 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MD177889 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500654900 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011 | 5094942872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090953 | Jordan Johnson | Case Manager/Care Coordinator | 19710 Cherry Hill St, Southfield, MI 48076-1061 | 2020-10-12 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1871018366 | Jordan Isaiah Johnson | Licensed Practical Nurse | 4503 Edmond Dr, South Euclid, OH 44121-3907 | 2017-08-07 |
| 1740735620 | Jordan Johnson | Physical Therapist | 137 E 3rd Ave Apt 14, Salt Lake City, UT 84103-5016 | 2016-08-19 |
| 1396114351 | Jordan Johnson | Behavioral Analyst | 146 S Thomas St Ste E, Tupelo, MS 38801-5328 | 2015-09-21 |
| 1881072205 | Jordan Johnson | Technician, Other | 222 6th Ave, Manistee, MI 49660-1318 | 2015-05-18 |
| 1528497286 | Jordan R Johnson | Marriage & Family Therapist | 121 S Alfred St, Suite 9, Alexandria, VA 22314-3049 | 2013-11-04 |
| 1366888174 | Jordan Lloyd Johnson | Dentist | 2232 Bardstown Rd Ste A, Louisville, KY 40205-1986 | 2013-05-20 |
| 1669085981 | Jordan Johnson | Physician Assistant | 990 Nw Circle Blvd Ste 102, Corvallis, OR 97330-1967 | 2020-08-26 |
| 1932723715 | Jordan Tyler Johnson | Student in an Organized Health Care Education/Training Program | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-06-08 |
| Street Address |
707 SW WASHINGTON ST STE 700 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558340794 | Nathan A Carden | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2006-01-16 |
| 1871943696 | Catherine Nguyen | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2016-06-14 |
| 1275982449 | Joseph Nguyen | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2016-06-08 |
| 1902251242 | Lauren Schergen | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2016-04-24 |
| 1730541939 | Kevin Ma | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2016-03-26 |
| 1316309669 | Erin Elizabeth Ginn | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2016-03-25 |
| 1376905869 | Matthew Stephen Klekman | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2016-03-23 |
| 1043692312 | Nicole Loudill | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205 | 2015-06-23 |
| 1144602566 | Zachary Lipowski | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2015-06-22 |
| 1396126470 | Peter Kelsey | Anesthesiology | 707 Sw Washington St Ste 700, Portland, OR 97205-3523 | 2015-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821451493 | Curtis Bradford | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Sjh-2, Portland, OR 97239-3098 | 2016-03-31 |
| 1457766040 | Edward Kent IIi | Anesthesiology | 3303 Sw Bond Ave Fl 15, Portland, OR 97239-4501 | 2014-06-23 |
| 1235486572 | Dolores Anne Leon | Anesthesiology | 2221 S.w. First Avenue, #2322, Portland, OR 97201-5023 | 2012-08-06 |
| 1447403605 | Leelee Khanh-hoa Thames | Anesthesiology | 3601 Sw River Pkwy Unit 800, Portland, OR 97239-4555 | 2008-10-30 |
| 1598942815 | Esther Sung | Anesthesiology | 3181 Sw Sam Jackson Park Rd # Uhs-2, Portland, OR 97239-3011 | 2008-01-29 |
| 1689871253 | Mark D Murrow | Anesthesiology | 2801 N Gantenbein Ave., Suite 4239, Legacy Emanuel Hospital & Health Center, Portland, OR 97227 | 2007-06-28 |
| 1477600260 | Mark Enker | Anesthesiology | 3181 Sw Sam Jackson Park Rd # 2, Portland, OR 97239-3011 | 2007-01-04 |
| 1265441638 | Robert D Wilson | Anesthesiology | 10379 Se Crescent Ridge Dr, Portland, OR 97086-9100 | 2006-08-05 |
| 1043227903 | Joshua B Siegel | Anesthesiology | 2307 Nw Stimpson Ln, Portland, OR 97229-8562 | 2006-08-02 |
| 1295749695 | David Gissen | Anesthesiology | 2846 Nw Ariel Ter, Portland, OR 97210-3119 | 2006-07-28 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.