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

Matthew Johnson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1053870717

Matthew Johnson, PHYSICIANASSISTANT is a Physician Assistant in Longview, Washington. Qualified in 2019, 7 years ago. Practices with Peacehealth, a 187-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
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Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-2730
Fax: (360) 414-2739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 — (360) 648-0080
  • 3240 Fort Rd, Toppenish, WA 98948-9562 — (509) 865-0707

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WA)

Record details

NPI number1053870717
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMarch 12, 2019
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address900 Ocean Beach Hwy Ste 110, Longview, WA 98632-4171

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Longview