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

Gayle Johnson

Individual provider Surgical Physician Assistant · NPI 1437629383

Gayle Johnson is a Physician Assistant in Tigard, Oregon. Qualified in 2020, 6 years ago. Practices with Northwest Cancer Specialists PC, a 69-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2018

Practice location Address checks out

12123 SW 69th Ave
Tigard, OR 97223-8514
Phone: (971) 708-7600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1437629383
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESApril 2, 2021
Certification dateApril 2, 2021
Mailing address1498 Se Tech Center Pl Ste 240, Vancouver, WA 98683-5508

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Northwest Cancer Specialists Pc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Tigard