Tamara Kwon Johnson, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP61327985 Issued in WA

Practice address

8835 SW Canyon LN Ste 236
Portland, OR 97225-3452

Phone

(971) 500-5551

Fax

(971) 529-1747

NPI assigned

Jun 24, 2022

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spectrum Mental Health

  dba Kaleidoscope Rx

  • Psychiatric/Mental Health Nurse Practitioner
  • Vancouver, WA
  • NPI 1356812614
  Medicare reassignment NPD
• Something Human Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
  • NPI 1528828852
  NPD

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1073245544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8835 SW CANYON LN STE 236",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253452",
            "telephone_number": "971-500-5551",
            "fax_number": "971-529-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 SW CANYON LN STE 236",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972253452",
            "telephone_number": "971-500-5551",
            "fax_number": "971-529-1747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TAMARA",
        "middle_name": "KWON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61327985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Morris Johnson, MD
• Steven Lee Johnson, BS
• Steven William Johnson, MD, PHD
• Susan Esther Johnson, M.D.
• Svea Ann Johnson, LMT
• Terrie L Johnson
• Thomas Harry Johnson, M.D.
• Thomas K Johnson, LPC
• Thomas Neil Johnson, DC
• Tracy Johnson, RN

• Psychiatric/Mental Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.