NPIMap

Individual provider Active NPI

Nathalie George Johnson, M.D.

  • Surgery Physician
  • Portland, OR
National Provider Identifier
1942224936
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD17901 Issued in OR
Practice address
1130 NW 22ND Ave
Suite 500
Portland, OR 97210-2900
Phone
(503) 229-7431
Fax
(503) 292-1433
NPI assigned
Jul 26, 2006
Last updated
May 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD17901 OR Primary

Addresses

Primary practice location

1130 NW 22ND Ave
Suite 500
Portland, OR 97210-2900

Mailing address

9155 SW Barnes Rd
Suite 830
Portland, OR 97225-6625
Phone (503) 229-7431

Other identifiers 1

IdentifierTypeStateIssuer
044532MedicaidOR

Other names 1

  • Nathalie George McDowell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100923000840 OR Practitioner - General Surgery 7911043690 Reassigns benefits to 1 organization
I20210818000553 WA Practitioner - General Surgery 7911043690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

1015 Nw22Nd Ave
Suite 34
Portland, OR 97210-3025
Phone (503) 413-6376

1130 NW 22ND Ave
Suite 220
Portland, OR 97210-2969
Phone (503) 413-8988

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy23
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17901ORMDSpecialist
MD17901ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince May 12, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince May 12, 2021 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 1, 2010 Accepting new patients
Legacy Clinics LLC CurrentSince Sep 1, 2010 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center PastSince Jun 1, 2023 Accepting new patients
Surgical Associats, PC Surgery PastSince Jul 1, 2009 Accepting new patients

Locations

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 500
Portland, OR 97210
Phone (503) 229-7339

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

9155 SW Barnes Rd
Ste 830
Portland, OR 97225
Phone (503) 229-7431

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: njohnson8246@direct.lhs.org

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Legacy Emanuel Medical CenterPortland, OR, CCN 380007 Hospital Corporate Director Jun 1, 2023
Legacy Good Samaritan Medical CenterPortland, OR, CCN 380017 Hospital Corporate Director Jun 1, 2023
Legacy Silverton Medical CenterSilverton, OR, CCN 380029 Hospital Corporate Director Jun 1, 2023
Legacy Salmon Creek Medical CenterVancouver, WA, CCN 500150 Hospital Corporate Director Jun 1, 2023
Legacy Meridian Park Medical CenterTualatin, OR, CCN 380089 Hospital Corporate Director Jun 1, 2023
Legacy Mount Hood Medical CenterGresham, OR, CCN 380025 Hospital Corporate Director Jun 1, 2023
Legacy Good Samaritan Hospital and Medical CenterPortland, OR, CCN 38T017 Hospital Corporate Director Jun 1, 2023
Unity Center for Beahavioral HealthPortland, OR, CCN 38S007 Hospital Corporate Director Jun 1, 2023
Legacy HospiceTualatin, OR, CCN 381505 Hospice Corporate Director Jun 1, 2023
Legacy Medical Group - Mt. AngelMount Angel, OR, CCN 383999 Rural health clinic Corporate Director Jun 1, 2023
Legacy Medical Group - Woodburn Health CenterWoodburn, OR, CCN 388500 Rural health clinic Corporate Director Jun 1, 2023
Legacy Medical Group - Silverton Family PhysiciansSilverton, OR, CCN 388501 Rural health clinic Corporate Director Jun 1, 2023
Legacy Clinic St HelensSaint Helens, OR, CCN 383867 Rural health clinic Corporate Director Jun 1, 2023
Legacy Medical Group - FirwoodSandy, OR, CCN 383881 Rural health clinic Corporate Director Jun 1, 2023

Owned or controlled facilities with NPI records 20

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 20

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1942224936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 SW BARNES RD",
            "address_2": "SUITE 830",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256625",
            "telephone_number": "503-229-7431",
            "fax_number": "503-292-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 NW 22ND AVE",
            "address_2": "SUITE 500",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102900",
            "telephone_number": "503-229-7431",
            "fax_number": "503-292-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "NATHALIE",
        "middle_name": "GEORGE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD17901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044532",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATHALIE",
            "last_name": "MCDOWELL",
            "middle_name": "GEORGE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.