Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Andrew Robert Johnson, MPAS, PA-C

Individual provider Physician Assistant · NPI 1508069980

Mr. Andrew Robert Johnson, MPAS, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2007, 19 years ago. Practices with Radiology Specialists of the Northwest PC, a 28-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Licensed in
OR
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd # L-605
Portland, OR 97239-3011
Phone: (503) 494-2265
Fax: (503) 494-7664
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01300 (OR)

Record details

NPI number1508069980
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedJune 6, 2007
Last updated in NPPESMay 4, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Radiology Specialists Of The Northwest Pc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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