Kyle Patrick Johnson is a Portland, Oregon based psychiatrist with 32 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:
32+ 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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.