Active NPI
Orion Joseph Johnson, LMT
- Specialist
- Beaverton, OR
National Provider Identifier
1760760912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 12409
- Practice address
- 4670 SW Washington Ave
Beaverton, OR 97005-0530 - Phone
- (503) 646-8575
- Fax
- (503) 526-0783
- NPI assigned
- Jul 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 12409 | OR | Primary |
Addresses
Primary practice location
4670 SW Washington Ave
Beaverton, OR 97005-0530
Mailing address
4670 SW Washington Ave
Beaverton, OR 97005-0530
Phone (503) 646-8575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12409 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1760760912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4670 SW WASHINGTON AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050530",
"telephone_number": "503-646-8575",
"fax_number": "503-526-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4670 SW WASHINGTON AVE",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970050530",
"telephone_number": "503-646-8575",
"fax_number": "503-526-0783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ORION",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-07-21",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "12409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.