Sara Beth Johnsen, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

Practice address

3181 SW Sam Jackson Park Rd
L458
Portland, OR 97239-3011

Phone

(503) 418-2432

Fax

(503) 494-5296

NPI assigned

Jan 9, 2008

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)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1033394994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 SE 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027406",
            "telephone_number": "503-502-5743",
            "fax_number": "503-494-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "L458",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-418-2432",
            "fax_number": "503-494-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "SARA",
        "middle_name": "BETH",
        "name_prefix": "Mr.",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Maude Johns, OTR/L
• Michele Ann Johns, LPC
• Daniel Robert Johnsen
• Holly Johnsen
• Kara Johnsen, DPT
• Zechariah Johnson-Banik, PSS, QMHA-R
• Alanna Johnson-Finn
• Cassy A Johnson-Hodge, BS
• John Skyler Johnson-Wagner
• Abby Johnson

• Genetic Counselor (M.S.) in Portland, OR
• Providers in Portland, OR by specialty
• Genetic Counselor (M.S.) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.