Dr Gordon Johnson, MD | |
24988 Se Stark St, Gresham, OR 97030-8324 | |
(503) 331-2376 | |
Not Available |
Full Name | Dr Gordon Johnson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 24988 Se Stark St, Gresham, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235103276 | NPI | - | NPPES |
150252 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | MD19750 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Legacy Emanuel Medical Center | Portland, OR | Hospital |
Legacy Mount Hood Medical Center | Gresham, OR | Hospital |
Legacy Good Samaritan Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Legacy Clinics Llc | 0244144004 | 633 |
Entity Name | Legacy Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
Entity Name | Legacy Good Samaritan Hospital And Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
Entity Name | Silverton Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669424354 PECOS PAC ID: 8921901877 Enrollment ID: O20040129000172 |
Mailing Address | Practice Location Address |
---|---|
Dr Gordon Johnson, MD 3465 Ne 36th Ave, Portland, OR 97212-2756 Ph: (503) 331-2376 | Dr Gordon Johnson, MD 24988 Se Stark St, Gresham, OR 97030-8324 Ph: (503) 331-2376 |
Dr. Deborah A Alexander, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 Fax: 503-413-6951 | |
Sandip Biswas, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1122 | |
Dr. Long Earon Thao, D.O Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-8407 |