Kyle P Johnson
Medical Specialty
Professional ID
- NPI: 1518975051
- PECOS ID: 3274691134
- Enrollment ID: I20081021000523
- Credential(MD, DO, DPM):
- Medical School: University Of Oklahoma College Of Medicine
- Medical School Graduation Year: 1992
Hospital Service
- Hospital CCN1: 380009
- Business Name (LBN)1: Ohsu Hospital And Clinics
Medical Practices
- Organization Name: University Professional Services
- Group Practice ID assigned by PECOS: 4880760107
- Number of Group Practice member: 1172
Location
- Address1: 3181 Sw Sam Jackson Park Rd
- Address2:
- City: Portland
- State: Oregon
- Zip Code: 97239
- Phone Number: (503)494-8311
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):