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

Kelsey Lee Johnson

Individual provider Technician · NPI 1063399426

Kelsey Lee Johnson is a Technician in Beaverton, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025

Practice location Address checks out

1975 NW 167th Pl # 53
Beaverton, OR 97006-4908
Phone: (503) 730-2973
Show map & directions

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

Specialties & licences

Technician (primary) Taxonomy 374700000X · Licence BAP-E-10258397 (OR)

Record details

NPI number1063399426
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025
Mailing address1975 Nw 167th Pl # 53, Beaverton, OR 97006-4908

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