Individual provider Active NPI

Lisa K Johnson, MD

  • Obstetrics & Gynecology Physician
  • Portland, OR
National Provider Identifier
1942296579
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD22958 Issued in OR
Practice address
5050 NE Hoyt St Ste 210
Portland, OR 97213-2980
Phone
(503) 249-5454
Fax
(503) 249-5498
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD22958 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St Ste 210
Portland, OR 97213-2980

Mailing address

7650 SW Beveland Rd Ste 200
Portland, OR 97223-8692
Phone (503) 601-3615

Other identifiers 1

IdentifierTypeStateIssuer
226897MedicaidOR

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000407 OR Practitioner - Obstetrics/Gynecology 5597740381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oregon Health Sciences University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Womens Healthcare Associates LLCGroup PAC ID 8527054014, 103 clinicians

Practice addresses (Care Compare)

1003 Providence Dr
Suite 340
Newberg, OR 97132-7521
Phone (503) 538-2698

1130 NW 22ND Ave
Suite 520
Portland, OR 97210-2976
Phone (503) 274-4800

1508 Division St
Suite 205
Oregon City, OR 97045-1585
Phone (503) 657-1071

19250 SW 65TH Ave
Suite 325
Tualatin, OR 97062-7452
Phone (503) 692-1242

5050 NE Hoyt St
Suite 210
Portland, OR 97213-2980
Phone (503) 249-5454

5050 NE Hoyt St
Suite 230
Portland, OR 97213-2981
Phone (503) 482-1800

9701 SW Barnes Rd
Portland, OR 97225-6689

Hospital & facility affiliations

  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Legacy Mount Hood Medical Center Hospital, Gresham, OR, CCN 380025
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Associates, LLC CurrentSince Oct 1, 2011 Accepting new patients
Northwest Urology, LLC Past Accepting new patients

Locations

7650 SW Beveland Rd
Ste 200
Portland, OR 97223
Phone (503) 601-3615

700 NE Multnomah St
Ste 1600
Portland, OR 97232
Phone (503) 249-5454

9701 SW Barnes Rd
Ste 200
Portland, OR 97225
Phone (503) 734-3700

5050 NE Hoyt St
Ste 230
Portland, OR 97213
Phone (503) 482-1800

5050 NE Hoyt St
Ste 210
Portland, OR 97213
Phone (503) 215-7628

Interoperability endpoints

  • Direct secure messaging: ljohnson12280@direct.lhs.org

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1942296579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 SW BEVELAND RD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238692",
            "telephone_number": "503-601-3615",
            "fax_number": "503-646-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132980",
            "telephone_number": "503-249-5454",
            "fax_number": "503-249-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LISA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD22958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226897",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.