Laurens Foster Johansen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD15988 Issued in OR

Practice address

6352 Palomino Way
West Linn, OR 97068-2242

Phone

(503) 656-7371

Fax

(503) 254-0656

NPI assigned

Mar 17, 2006

Sex

Male

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 OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Loma Linda University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Spine Surgery LLCGroup PAC ID 4587005921, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Portland Hospital, Portland, OR, CCN 380060

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ljohansen154537@direct.ohsu.edu

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.

• Northwest Spine Surgery LLC

  • Orthopaedic Surgery of the Spine Physician
  • Portland, OR
  • NPI 1841040292

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Darrell C Brett MD PC

  • Specialist
  • Portland, OR
  • NPI 1144425299
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Portland Adventist Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1801887658
  Care Compare affiliation

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238025600000",
    "number": "1083683247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6352 PALOMINO WAY",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682242",
            "telephone_number": "503-656-7371",
            "fax_number": "503-254-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6352 PALOMINO WAY",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970682242",
            "telephone_number": "503-656-7371",
            "fax_number": "503-254-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "LAURENS",
        "middle_name": "FOSTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD15988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JD Markham Hearing Healthcare Inc.
• Jean M Pacewic DMD PC
• Meghann Jenkins
• Jasmine Joel
• Kara R Johansen, PSYD
• Nicholas Johnsen, LMT
• Cameron Keith Johnson, DC
• Kelsey Johnson, LMT
• Guinevere Zandt Jones, LMT
• Mikki Jordan, LCSW

• Family Medicine Physician in West Linn, OR
• Providers in West Linn, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.