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

Mr. Scott Roger Johnson, PA-C

Individual provider Physician Assistant · NPI 1275719650

Mr. Scott Roger Johnson, PA-C is a Physician Assistant in LA Pine, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
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

51600 Huntington Rd
LA Pine, OR 97739-8887
Phone: (541) 536-3435
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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 00826 (OR)

Record details

NPI number1275719650
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2008
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

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