Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Nicholas Darwin Johantgen, PA-C

Individual provider Medical Physician Assistant · NPI 1851731152

Mr. Nicholas Darwin Johantgen, PA-C is a Medical Physician Assistant in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2013
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

9155 SW Barnes Rd Ste 934
Portland, OR 97225-6625
Phone: (503) 229-7015
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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 · Licence PA161672 (OR)

Record details

NPI number1851731152
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJuly 1, 2013
Last updated in NPPESJuly 1, 2013

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