Doctor profile · Federal record
Dr. Marisa Johnson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Registered Nurse · Nurse Practitioner · Psychiatric/Mental Health Nurse Practitioner · Registered Nurse · Registered Nurse · Portland, OR
- NPI 1699011767
- Accepts Medicare
- 7 yrs in practice
- Licensed in 3 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
12360 E Burnside St
Portland, OR 972331042
(971) 279-4800
fax (971) 279-2051 - Additional location
-
703 Ne Hancock St
Portland, OR 972123955
(503) 230-9875
fax (503) 331-3441 - Mailing address
-
1776 Sw Madison St
Portland, OR 972051715
Credentials & registration
- NPI registered
- December 2012 — 14 yrs on file
- Profile last updated
- March 21, 2024
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State licenses (6)
- Oregon #202208550NP-PP · Washington #RN60200108 · Washington #AP61312604 · Illinois #209.021409 · Oregon #202208453RN · Illinois #041495198
- Medicaid
- OR #500819896
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699011767. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$102
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Otsuka America Pharmaceutical, Inc. | 1 | $101.70 |
By nature of payment
Frequently asked questions
What is Dr. Marisa Johnson's medical specialty?
Dr. Marisa Johnson practices Psychiatric/Mental Health Nurse Practitioner in Portland, OR.
Where does Dr. Marisa Johnson practice?
Dr. Marisa Johnson practices at 12360 E Burnside St, Portland, OR 972331042. Office phone: 9712794800.
What is Dr. Marisa Johnson's NPI?
Dr. Marisa Johnson's National Provider Identifier (NPI) is 1699011767, issued by NPPES.
Does Dr. Marisa Johnson accept Medicare assignment?
Yes. Dr. Marisa Johnson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.