Elizabeth Irwin Johnson

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

254224 Issued in OR

Practice address

17360 Holy Names Dr
Lake Oswego, OR 97034-5133

Phone

(503) 675-2004

NPI assigned

Jul 16, 2008

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1033373220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 SW VIRGINIA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193037",
            "telephone_number": "971-404-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17360 HOLY NAMES DR",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970345133",
            "telephone_number": "503-675-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ELIZABETH",
        "middle_name": "IRWIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "254224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea L Johnson, CRNA
• Anthony Lance Johnson, PA-C
• Catherine Johnson, PSY.D
• Deirdre Johnson, PHARM.D.
• Dona D Johnson
• Janice Johnson, LPC
• Keith Johnson, M.D.
• Kendall Amanda Johnson, PA-C
• Shylo Johnson, LMT
• Tiamoya Johnson

• Occupational Therapist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.