Logan Michael Johnston

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

511 SW 10TH Ave Ste 1301
Portland, OR 97205-2780

Phone

(503) 228-0155

Fax

(503) 226-8342

NPI assigned

Sep 1, 2020

Last updated

Aug 26, 2024By the provider in NPPES

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barzin Khalili MD LLCGroup PAC ID 7911095443, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Barzin Khalili, M.D., LLC

  dba Allergy Clinic

  • Allergy & Immunology Physician
  • Portland, OR
  • NPI 1003005711
  Medicare reassignment Care Compare group
• NW Allergy & Asthma Specialists,LLC

  dba Asthma Allergy Centre

  • Allergy & Immunology Physician
  • Beaverton, OR
  • NPI 1215928668
  Medicare reassignment
• Allergy Clinic LLC

  • Allergy Physician
  • Portland, OR
  • NPI 1679790604
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1144834805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052780",
            "telephone_number": "503-228-0155",
            "fax_number": "503-226-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SW 10TH AVE STE 1301",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052780",
            "telephone_number": "503-228-0155",
            "fax_number": "503-226-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "LOGAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Kathryn Johnston, FNP
• Emily Clarice Johnston, DMD
• Ernest Patrician Johnston, LCSW, CADCIII
• Katheryn Jean Johnston
• Lindsey Johnston
• Matt Allen Johnston, LPC, CADC II
• Michelle Lee Johnston
• Ruthie Johnston, CADC 1
• Ryan Johnston
• Secret Ann Johnston, CADC I/CRM/PSS/QMHAR

• Medical Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Medical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.