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

Logan Michael Johnston

Individual provider Medical Physician Assistant · NPI 1144834805

Logan Michael Johnston is a Physician Assistant in Portland, Oregon. Qualified in 2020, 6 years ago. Practices with Barzin Khalili MD LLC, a 3-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2020
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Practice location Address checks out

511 SW 10th Ave Ste 1301
Portland, OR 97205-2780
Phone: (503) 228-0155
Fax: (503) 226-8342
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1144834805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

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 Barzin Khalili Md Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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