PAUL W JOHNSON (NPI# 1689785925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689785925 |
| Entity Type | Individual |
| Full Name | PAUL W JOHNSON |
| Credential | D.O. |
| Practice Address |
2222 Nw Lovejoy St Ste 522 Portland OR 97210-3033 |
| Mailing Address |
3439 Ne Sandy Blvd # 234 Portland OR 97232-1959 |
| Practice Telephone | 5038106555 |
| Practice Fax Number | 5032867939 |
| Mailing Telephone | 5039780178 |
| Mailing Fax Number | 5032867939 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2016-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
DO28084 | OR | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
DO28084 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8467474 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356757850 | Paul Johnson | Dentist | 1301 N 40th St, Lincoln, NE 68503-2109 | 2014-07-03 |
| 1912337387 | Paul Richard Johnson | Dentist | 13132 Newport Blvd, Suite 200, Tustin, CA 92780 | 2013-11-20 |
| 1720394034 | Paul E Johnson Jr. | Psychologist | 1389 Mapleton Rd, Mapleton, ME 04757-4501 | 2010-08-24 |
| 1760645006 | Paul Louis Johnson | Anesthesiology | Dept of Anesthesiology Univ of Kentucky, 800 Rose Street, Lexington, KY 40536-0001 | 2008-07-07 |
| 1770742876 | Paul Andrew Johnson | Dentist | 2901 Pioneer Ave, Rice Lake, WI 54868-2434 | 2008-06-03 |
| 1023288255 | Paul David Johnson | Dentist | 25 Pine Cone Drive, Suite 1, Palm Coast, FL 32164 | 2008-03-04 |
| 1629268784 | Paul Robert Johnson | Counselor | 16715 Ne 79th St, Redmond, WA 98052-4425 | 2007-07-25 |
| 1467577627 | Paul Edward Johnson | Pharmacist | 3803 South Main St, Marion, NY 14505-0047 | 2007-03-20 |
| 1659495497 | Paul D Johnson | Family Medicine | 221 North 12th Street, Suite 300, Kansas City, KS 66102-0000 | 2007-03-19 |
| 1932242435 | Paul Leo Johnson | Optometrist | 11033 Carolina Place Pkwy, Pineville, NC 28134-8370 | 2007-02-14 |
| Street Address |
2222 NW LOVEJOY ST STE 522 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-3033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184626970 | Robert Louis Courtox | Physician Assistant | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | 2005-08-11 |
| 1083193338 | Suzanna Davis Barnhart | Nurse Practitioner | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2018-08-08 |
| 1447705801 | Pursuit Sports Medicine, LLC | Internal Medicine | 2222 Nw Lovejoy St, Ste 522, Portland, OR 97210-3033 | 2016-08-16 |
| 1578923751 | Pdxent and Audiology Medical Group PC | Otolaryngology | 2222 Nw Lovejoy St, 607, Portland, OR 97210-3033 | 2016-03-01 |
| 1669840443 | Melissa Dolbec | Registered Nurse | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2015-09-09 |
| 1043649908 | Angela Massoni-blaine | Nurse Practitioner | 2222 Nw Lovejoy St, Portland, OR 97210-3033 | 2013-11-01 |
| 1851726319 | Dustin M Bronsdon | Audiologist | 2222 Nw Lovejoy St, 607, Portland, OR 97210-3033 | 2013-09-03 |
| 1932467008 | Maxwell C. Furr, M.d. LLC | Specialist | 2222 Nw Lovejoy St, Ste 607, Portland, OR 97210-3033 | 2012-04-26 |
| 1619241551 | Brett Anthony Quarles | Physician Assistant | 2222 Nw Lovejoy St, Suite 315, Portland, OR 97210-5101 | 2012-02-23 |
| 1598054132 | Peter Jackson | Internal Medicine | 2222 Nw Lovejoy St, #411, Portland, OR 97210-3033 | 2011-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688995 | Carol L Otis | Internal Medicine | 0836 Sw Curry St Unit 1400, Portland, OR 97239-4529 | 2020-01-13 |
| 1447705801 | Pursuit Sports Medicine, LLC | Internal Medicine | 2222 Nw Lovejoy St, Ste 522, Portland, OR 97210-3033 | 2016-08-16 |
| 1255386066 | Jeffrey J Bean | Internal Medicine | 33 Sewall St, Portland, ME 04102-2603 | 2006-05-23 |
| 1164423117 | William M Heinz | Internal Medicine | 33 Sewall St, Portland, ME 04102 | 2005-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235307331 | Jimmy Huebert Md Inc | Internal Medicine | 6464 Sw Borland Rd Ste D2, Tualatin, OR 97062-8861 | 2008-02-12 |
| 1225050834 | Jimmy Dee Huebert | Internal Medicine | 19824 Sw 72nd Ave, Suite 101, Tualatin, OR 97062-8397 | 2006-07-24 |
| 1932615507 | Sonrisa Alison Street | Internal Medicine | 16315 Sw Barrows Rd Ste 203a, Beaverton, OR 97007-9461 | 2017-12-19 |
| 1649604075 | The Sports & Spine Center PC | Internal Medicine | 19824 Sw 72nd Ave, 101, Tualatin, OR 97062-8397 | 2013-08-21 |
Please comment or provide details below to improve the information on PAUL W JOHNSON.
| 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.