Keith Johnson, MD | |
5 Centerpointe Dr, Lake Oswego, OR 97035-8651 | |
(503) 606-6355 | |
(503) 404-4555 |
Full Name | Keith Johnson |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 10 Years |
Location | 5 Centerpointe Dr, Lake Oswego, 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 |
---|---|---|---|
1982023479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 9601928-1205 (Utah) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | MD187490 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peacehealth | 9739092065 | 85 |
Entity Name | Peacehealth |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
Mailing Address | Practice Location Address |
---|---|
Keith Johnson, MD 5 Centerpointe Dr Ste 400, Lake Oswego, OR 97035-8661 Ph: (503) 606-6635 | Keith Johnson, MD 5 Centerpointe Dr, Lake Oswego, OR 97035-8651 Ph: (503) 606-6355 |
Dr. Alysa Zalma, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 20 Grouse Ter, Lake Oswego, OR 97035 Phone: 503-703-0302 | |
Cheryn Lee Grant, D.O. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4550 Kruse Way, Suite 225, Lake Oswego, OR 97035 Phone: 503-296-6661 Fax: 503-296-6661 | |
Mr. Eric Goranson, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659 | |
Dr. Michael Sean Green, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 16001 Quarry Rd, Lake Oswego, OR 97035 Phone: 503-635-1604 Fax: 503-635-6659 | |
Kari Hancock, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr Ste 4, Lake Oswego, OR 97035 Phone: 503-744-4952 Fax: 503-664-4098 | |
Allen Lytton Stark, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 340 Oswego Pointe Dr, Suite 205, Lake Oswego, OR 97034 Phone: 503-635-9336 Fax: 503-635-5414 | |
Wendy J. Linker, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17685 65th Ave Ste 300, Lake Oswego, OR 97035 Phone: 503-624-3929 |