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

Gabrielle Johnson, PA-C, ATC

Individual provider Athletic Trainer · NPI 1689211740

Gabrielle Johnson, PA-C, ATC is a Physician Assistant in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with The Oregon Clinic, PC, a 352-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

9155 SW Barnes Rd
Portland, OR 97225-6625
Phone: (503) 216-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Athletic Trainer Taxonomy 2255A2300X · Licence AT-10165263 (OR)

Record details

NPI number1689211740
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , ATC
Sole proprietorYes
NPI enumeratedDecember 6, 2019
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice The Oregon Clinic, Pc — 352 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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