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

Heather Johnson, PA-C

Individual provider Physician Assistant · NPI 1861056269

Heather Johnson, PA-C is a Physician Assistant in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

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.

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Practice location Address checks out

1130 NW 22nd Ave Ste 110
Portland, OR 97210-2934
Phone: (503) 413-8654
Fax: (503) 413-8655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence PA201551 (OR)

Record details

NPI number1861056269
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESApril 10, 2021
Certification dateApril 10, 2021
Mailing address716 Stevens Ave, Portland, ME 04103-2656

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