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

Dr. Corey S Johnson, MD

Individual provider Surgery Physician · NPI 1801116488

Dr. Corey S Johnson, MD is a General Surgery in Longview, Washington. Graduated from Oregon Health Sciences University School of Medicine in 2010, 16 years ago. Practices with Overlake Medical Clinics LLC, a 426-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
16
Trained at
Oregon Health Sciences University School of Medicine
Licensed in
WA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 501-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD60533337 (WA)

Record details

NPI number1801116488
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2010
Last updated in NPPESJuly 14, 2015
Mailing address1115 Se 164th Ave, Dept. 358, Vancouver, WA 98683-9324

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Overlake Medical Clinics Llc — 426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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