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

Israel Synclair Johnson, LCPM

Individual provider Midwife · NPI 1851961213

Israel Synclair Johnson, LCPM is a Midwife in Corvallis, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Kentucky and Oregon.

Licensed in
KY, OR
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2314 NW Kings Blvd
Corvallis, OR 97330-3925
Phone: (859) 625-4116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 109 Bridge Ave, Berea, KY 40403-1803 — (859) 625-4116

Specialties & licences

Midwife (primary) Taxonomy 176B00000X · Licence DEM-LD-10258947 (OR)
Midwife Taxonomy 176B00000X · Licence 4035403 (KY)

Record details

NPI number1851961213
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPM
Sole proprietorYes
NPI enumeratedJune 29, 2021
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address3240 Nw Elmwood Dr, Corvallis, OR 97330-1104

Other providers in Corvallis