Individual provider Active NPI

Heather N Johnson, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1619672557
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP70075125 Issued in WA
Practice address
13535 SW 72ND Ave Ste 170
Portland, OR 97223-8074
Phone
(971) 300-0654
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP70075125 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10054864 OR

Addresses

Primary practice location

13535 SW 72ND Ave Ste 170
Portland, OR 97223-8074

Mailing address

915 NW Vinca LN
Camas, WA 98607-7914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13535 SW 72ND Ave
Suite 170
Portland, OR 97223-8074

915 NW Vinca LN
Camas, WA 98607-7914

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
10054864ORMDPsychiatric/Mental Health Nurse Practitioner
AP70075125WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Olsen MD LLC CurrentSince Dec 5, 2023 Accepting new patients
Core Health PastSince Jan 4, 2026 Accepting new patients
Robert Olsen MD Washington PC PastSince Oct 6, 2024 Accepting new patients

Locations

1925 NE Stucki Ave
Ste 270
Beaverton, OR 97006

250 NW Franklin Ave
Ste 204
Bend, OR 97703

9895 SE Sunnyside Rd
Ste F
Clackamas, OR 97015

1400 Executive Pkwy
Ste 250
Eugene, OR 97401

833 SW 11th Ave
Ste 245
Portland, OR 97205
Phone (503) 442-6105

13535 SW 72nd Ave
Ste 170
Portland, OR 97223
Phone (303) 468-8018

1547 NE 40th Ave
Ste B
Portland, OR 97232
Phone (855) 397-0197

2480 Liberty St NE
Ste 110
Salem, OR 97301
Phone (503) 371-1756

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1619672557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 NW VINCA LN",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986077914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13535 SW 72ND AVE STE 170",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238074",
            "telephone_number": "971-300-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "middle_name": "N",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP70075125",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10054864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.