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

Mr. Ben Douglas Johnson, PA-C

Individual provider Surgical Physician Assistant · NPI 1720152465

Mr. Ben Douglas Johnson, PA-C is a Physician Assistant in Phoenix, Oregon. Qualified in 2002, 24 years ago. Practices with G Street Integrated Health, a 22-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
24
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

205 N Phoenix Rd Ste 430
Phoenix, OR 97535-9108
Phone: (541) 778-4517
Fax: (541) 833-0995
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA00825 (OR)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA00825 (OR)

Record details

NPI number1720152465
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 17, 2006
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice G Street Integrated Health — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount