Clotilde Amelia Johnson-Beale, M.D., M.P.H.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD158570 Issued in OR

Practice address

25050 SE Stark St Ste 300
Gresham, OR 97030-3388

Phone

(503) 667-8878

Fax

(503) 667-0310

NPI assigned

Apr 12, 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

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cjohnsonbeale19140@direct.lhs.org
• FHIR API: https://fhir4.healow.com/fhir/r4/GIEBDD

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.

• Metropolitan Pediatrics, LLC

  • Pediatrics Physician
  • Portland, OR
  • NPI 1235131632
  NPD (past)
• Pediatric Cardiology Center of Oregon PC

  • Pediatric Cardiology Physician
  • Portland, OR
  • NPI 1144287541
  NPD (past)
• Evergreen Pediatric Clinic PS

  • Pediatric Adolescent Medicine Physician
  • Vancouver, WA
  • NPI 1144343773
  NPD (past)

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1760655575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303388",
            "telephone_number": "503-667-8878",
            "fax_number": "503-667-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 SE STARK ST STE 300",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303388",
            "telephone_number": "503-667-8878",
            "fax_number": "503-667-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-BEALE",
        "first_name": "CLOTILDE",
        "middle_name": "AMELIA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-12",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD158570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Erin Joachim, MA, LPC
• John C. Anderson, M.D., P.C.
• John H Frick DMD PC
• Michelle L John, M.D.
• Johnson Chiropractic Clinic PC
• Dawn Marie Johnson, PHARM D
• Debra F Johnson, FNP
• Emily Ann Johnson, QMHP-R
• Erica Johnson, DPT
• Gary A. Johnson, D.C.

• Pediatrics Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.