Scott Roger Johnson, PA-C

Physician Assistant · La Pine, OR

Individual Active NPI

NPI number 1275719650

Practice location

51600 Huntington Rd
La Pine, OR 97739-8887
Phone
(541) 536-3435

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NPI record

NPI
1275719650
Entity type
Individual (Type 1)
Enumeration date
January 15, 2008
Last updated
September 8, 2022
Certified
September 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 00826 OR

Mailing address

PO Box 3300
La Pine, OR 97739-3300
Phone
(541) 536-3435
Fax
(541) 536-8047

About Scott Johnson

Scott Roger Johnson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 51600 Huntington Rd, La Pine, OR 97739-8887. The NPI number 1275719650 was assigned on January 15, 2008 and the record was last updated on September 8, 2022.

Scott Johnson lists a license in the registry: #00826 (OR) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Roger Johnson, PA-C?

The NPI number is 1275719650.

What is the phone number of Scott Johnson?

The phone number listed for the practice location is (541) 536-3435.

Where is Scott Johnson located?

51600 Huntington Rd, La Pine, OR 97739-8887.

What is the taxonomy code for Scott Johnson?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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