DR. ERIC MITCHELL JOHNSON (NPI# 1790813079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790813079 |
| Entity Type | Individual |
| Full Name | DR. ERIC MITCHELL JOHNSON |
| Credential | PH.D. |
| Practice Address |
1942 Nw Kearney St Ste 21 Portland OR 97209-1463 |
| Mailing Address |
1942 Nw Kearney Suite 21 Portland OR 97209 |
| Practice Telephone | 5032744017 |
| Practice Fax Number | 5032742808 |
| Mailing Telephone | 5036730320 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
633 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114773 | Eric Johnson | Homemaker | 283 Grandview Ave, Wadsworth, OH 44281-1160 | 2020-11-08 |
| 1639713324 | Eric Andrew Johnson | Counselor | 301 S 70th St # 313, Lincoln, NE 68510-2469 | 2019-11-05 |
| 1396213849 | Eric Daniel Johnson | Clinic/Center | 111 S 11th Ave Ste 122, Yakima, WA 98902-3242 | 2018-11-02 |
| 1952890816 | Eric Johnson | Pharmacist | 2351 Coulee Rd, Hudson, WI 54016-9177 | 2018-05-07 |
| 1417324138 | Eric Johnson | Dentist | 9101 Pearl St Ste 217, Thornton, CO 80229-4353 | 2015-08-28 |
| 1649665399 | Eric Johnson | Student in an Organized Health Care Education/Training Program | University of Utah University Hospital 50 N Dr, Salt Lake City, UT 84132-0001 | 2015-03-31 |
| 1124428966 | Eric Johnson | Physical Therapist | 10311 Cross Creek Blvd Ste E, Tampa, FL 33647-2989 | 2014-08-29 |
| 1467863712 | Eric Johnson | Counselor | 3784 Welland Ave, Los Angeles, CA 90018-4139 | 2014-05-08 |
| 1245656867 | Eric Craig Johnson | Counselor | 215 Benbow Ave, San Jose, CA 95123-3704 | 2014-03-06 |
| 1205252913 | Eric Johnson | Speech-Language Pathologist | 6839 Fox Run Dr, Westerville, OH 43082-8693 | 2014-03-06 |
| Street Address |
1942 NW KEARNEY ST STE 21 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-1463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114454360 | Jennifer Hegg | Psychologist | 4438 Ne 90th Ave, Portland, OR 97220-5022 | 2017-05-18 |
| 1538565890 | Pamela Suzanne Buchanan | Psychologist | 1130 Sw Morrison St Ste 520, Portland, OR 97205-2216 | 2014-11-14 |
| 1750521258 | Alexander Maxwell Millkey | Psychologist | 6711 N Albina Ave, Portland, OR 97217-1825 | 2009-02-24 |
| 1629233663 | Clinical Counseling Associates of Maine, P.a. | Psychologist | 1863 Washington Ave, Portland, ME 04103-1625 | 2008-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508139601 | Scott Alan Senn | Psychologist | 235 E 3rd St Ste 4, Mcminnville, OR 97128-4829 | 2012-02-20 |
| 1427251727 | David Allen Oas | Psychologist | 508 Tucker St, Ashland, OR 97520-1582 | 2007-06-06 |
| 1104909894 | David Michael Corey | Psychologist | 5285 Meadows Road, Suite 311, Lake Oswego, OR 97035-3367 | 2006-10-24 |
| 1689284739 | Nicole Humphrey | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-08-04 |
| 1689200784 | Sophia Jaeger-manson | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-03-20 |
| 1811529357 | Leah Marie Glass | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2020-02-11 |
| 1659892479 | Megan Wise | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2017-07-01 |
| 1346788106 | Courtney Prokosch | Psychologist | 2600 Center St Ne, Salem, OR 97301-2669 | 2017-02-01 |
| 1669919809 | Lindsay Ingram | Psychologist | 2600 Center St Ne, Forensic Evaluation Services, Salem, OR 97301-2669 | 2017-01-26 |
| 1225456106 | Shylene Larson | Psychologist | 1600 S Main St, Lebanon, OR 97355-3109 | 2014-03-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.