Kyle Patrick Johnson
MD | Psychiatry | Child & Adolescent | 33+ years Exp
3181 Sw Sam Jackson Park Rd, Portland
Oregon, 97239-3011
503-494-8617 Maps & DirectionsKyle Patrick Johnson is a Portland, Oregon based psychiatrist with 33 years of experience in Child & Adolescent. He completed his graduation from University Of Oklahoma College Of Medicine in 1992. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kyle Patrick Johnson is MD18353 for Child & Adolescent in Oregon. His current practice location is 3181 Sw Sam Jackson Park Rd, Portland. Patients can reach him at 503-494-8617. Kyle Patrick Johnson is MD in Child & Adolescent and his NPI number (Unique professional ID assigned by NPPES) is 1518975051.
Kyle Patrick Johnson has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Kyle Patrick Johnson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kyle Patrick Johnson |
| Specialization: | Child & Adolescent |
| Gender: | Male |
| Credentials: | MD |
| Experience: | 33+ years |
| Medical School Attended: | University Of Oklahoma College Of Medicine |
| Graduation Year: | 1992 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3181 Sw Sam Jackson Park Rd, Portland,
Oregon, 97239-3011 |
| Phone: | 503-494-8617 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3274691134 |
| Enrollment ID: | I20081021000523 |
| NPI Number: | 1518975051 |
| NPI Enumeration Date: | 03 Aug, 2006 |
| NPI Last Update On: | 16 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kyle Patrick Johnson are as mentioned below.
| License Number | Specialization | State | Status | |
| MD18353 | Child & Adolescent | Oregon | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kyle Patrick Johnson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Oregon Health And Sciences University/university Medical Group (4880760107) | 1328 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kyle Patrick Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 085998 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kyle Patrick Johnson
3181 Sw Sam Jackson Park Rd, Ohsu, Dc-7p
Portland, Oregon |
| Zip: | 97239-3011 |
| Phone Number: | 503-418-5775 |
Patients can reach Kyle Patrick Johnson at
3181 Sw Sam Jackson Park Rd, Portland, Oregon or can
call to book an appointment on 503-494-8617.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.