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

Jordan Blake Johnson, MD

Individual provider Anesthesiology Physician · NPI 1629336029

Jordan Blake Johnson, MD is an Anesthesiology in Portland, Oregon. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2007, 19 years ago. Practices with Providence Health and Service- Washington, a 172-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
OR
In the registry since
2012
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

707 SW Washington St Ste 700
Portland, OR 97205-3523
Phone: (503) 299-9906
Fax: (503) 225-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 — (509) 494-2872

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence MD177889 (OR)

Record details

NPI number1629336029
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 24, 2012
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2007 (19 years in practice)
Group practice Providence Health And Service- Washington — 172 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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