Johnson, Lisa K
Johnson, Lisa K is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 230 , Portland OR 97213-2981. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Johnson, Lisa K can be contacted via phone (503) 249-5454.Contact Information
Primary practice address
5050 Ne Hoyt St Ste 230
Portland OR 97213-2981
Phone: (503) 249-5454
Fax: (503) 249-5498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD22958 | Oregon |
Profile Details
| NPI number | 1942296579 |
|---|---|
| LBN Legal business name | Johnson, Lisa K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Oct 13th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942296579 | NPPES |
| Oregon | MEDICAID | 226897 |
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