Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. KENDALL AMANDA JOHNSON PA-C
NPI 1962785212
Physician Assistant - Surgical in Lake Oswego, OR

Q: What is Kendall Johnson's NPI number?

The NPI number for Kendall Johnson is 1962785212. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Q: What is Kendall Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kendall Johnson was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.

Active since September 22, 2011

4250 MERCANTILE DR, LAKE OSWEGO, OR 97035(503) 850-9940 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 30, 2026, Feb 22, 2022 (2 updates tracked since 2022).

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About Mrs. Kendall Amanda Johnson Pa-c NPPES

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

MRS. KENDALL AMANDA JOHNSON PA-C (NPI 1962785212) is an individual surgical provider in Lake Oswego, Oregon, licensed in Oregon (PA229637) and active in the NPI registry since September 2011. She maintains a secondary practice location in Beaverton.

NPPES Registry Identity

NPI1962785212

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. KENDALL AMANDA JOHNSONCredential: PA-C

Location Address4250 MERCANTILE DRLake Oswego, OR 97035-2504

Mailing Address4250 Mercantile Dr Ste BLake Oswego, OR 97035-2504 · (503) 850-9940

Phone(503) 850-9940

Sole ProprietorNo

Enumeration DateSeptember 22, 2011

Last NPPES UpdateAugust 30, 20262 updates tracked since enumeration

NPPES CertifiedAugust 30, 2026

✔ NPI 1962785212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in OR · PA229637✔ Licensed in HI · AMD-617

4250 MERCANTILE DR, Lake Oswego, OR 97035

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Secondary Practice Location 1

Location 12695 SW Cedar Hills Blvd Ste 140Beaverton, OR 97005-1415 · Phone (503) 850-9950

Other Providers at the Same Location NPPES

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

DR. AMER J MIRZA M.D.

Orthopaedic Surgery

4250 MERCANTILE DR
LAKE OSWEGO, OR 97035

Clackamas County (503) 850-9940

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 Kendall Johnson's NPI number?

The NPI number for Kendall Johnson is 1962785212. It was assigned to this individual provider in the NPPES registry on September 22, 2011.

Where is Kendall Johnson located?

Kendall Johnson practices at 4250 Mercantile Dr, Lake Oswego, OR 97035. The listed phone number is (503) 850-9940.

What is Kendall Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kendall Johnson was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.