Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda M Johnson, DO

Individual provider Family Medicine Physician · NPI 1073046330

Amanda M Johnson, DO is a Family Practice in Portland, Oregon. Graduated from Lincoln Memorial University Medical Department in 2017, 9 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Colorado and Oregon.

Years since qualifying
9
Trained at
Lincoln Memorial University Medical Department
Licensed in
CO, OR
In the registry since
2017
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4805 NE Glisan St
Portland, OR 97213-2933
Phone: (503) 215-2392
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 — (719) 776-8040
  • 340 Printers Pkwy, Colorado Springs, CO 80910-3190 — (719) 632-5700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO222716 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence DR.0061848 (CO)
Hospitalist Physician Taxonomy 208M00000X · Licence DO222716 (OR)
Hospitalist Physician Taxonomy 208M00000X · Licence DR.0061848 (CO)

Record details

NPI number1073046330
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolLINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Graduated 2017 (9 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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