Dr. Susan Esther Johnson
Gastroenterologist
9701 Sw Barnes Rd Ste 300
Portland
, Oregon 97225-6689
Dr. Susan Esther Johnson
Gastroenterologist
9701 Sw Barnes Rd Ste 300
Portland
, Oregon 97225-6689
(503) 963-2825
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Susan Esther Johnson
- 847 Ne 19th Ave Ste 300
- Portland, OR
- Zip : 97232-2686
- Fax : (503) 963-2825
- Phone : (503) 963-2801
Second Address
- Dr. Susan Esther Johnson
- 9701 Sw Barnes Rd Ste 300
- Portland, OR
- Zip : 97225-6689
- Fax : (503) 292-6601
- Phone : (503) 297-8081
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | MD27861 | OR |
National Provider Identifier
| NPI | 1043434814 |
|---|---|
| Provider Name | Dr. Susan Esther Johnson |
| First Address | Portland, OR 97232-2686 |
| Second Address | Portland, OR 97225-6689 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2007 |
| Last Update Date | 30/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2004400 | (05) | WA |
| 213841 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.