MARCIE MARIE JOHNSON PAC
NPI 1457768400
Physician Assistant in Portland, OR

Active since July 22, 2014
9155 SW BARNES RD, SUITE 536, PORTLAND, OR 97225(503) 935-8100(503) 935-8110 Get Directions Write a Review

NPPES record last updated: December 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcie Marie Johnson Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCIE MARIE JOHNSON PAC (NPI 1457768400) is an individual physician assistant in Portland, Oregon, licensed in Oregon (PA167463) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1457768400
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARCIE MARIE JOHNSONCredential: PAC
Location Address9155 SW BARNES RD, SUITE 536Portland, OR 97225-6625
Mailing Address847 Ne 19th Ave, Suite 300Portland, OR 97232-2684 · (503) 963-2801 · Fax (503) 963-2825
Fax(503) 935-8110
Sole ProprietorNo
Enumeration DateJuly 22, 2014
Last NPPES UpdateDecember 1, 2016
NPI 1457768400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OR · PA167463
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9155 SW BARNES RD, Portland, OR 97225

Other Identifiers 1

Medicaid5006797037OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9155 SW BARNES RD, STE 205
PORTLAND, OR 97225
Psychiatry & Neurology (Psychiatry)
9155 SW BARNES RD, STE 333
PORTLAND, OR 97225
Pediatrics (Pediatric Endocrinology)
9155 SW BARNES RD, SUITE 931
PORTLAND, OR 97225
Physical Medicine & Rehabilitation
9155 SW BARNES RD, #440
PORTLAND, OR 97225
Audiologist-Hearing Aid Fitter
9155 SW BARNES RD, STE 401
PORTLAND, OR 97225
Pharmacist
9155 SW BARNES RD
PORTLAND, OR 97225
Naturopath
9155 SW BARNES RD, SUITE 331
PORTLAND, OR 97225
Speech-Language Pathologist
9155 SW BARNES RD, CHILDREN'S DEVELOPMENT INSTITUTE, EAST PAVILION
PORTLAND, OR 97225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcie Johnson's NPI number?

The NPI number for Marcie Johnson is 1457768400. It was assigned to this individual provider in the NPPES registry on July 22, 2014.

Where is Marcie Johnson located?

Marcie Johnson practices at 9155 SW Barnes Rd Suite 536, Portland, OR 97225. The listed phone number is (503) 935-8100.

What is Marcie Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marcie Johnson was last updated on December 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.