Johnson, Nathan Patrick
Johnson, Nathan Patrick is an sole proprietor health care provider with primary practice located at 4035 12Th St Cutoff Se Ste 120 , Salem OR 97302. He recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Allopathic & Osteopathic Physicians / Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Johnson, Nathan Patrick can be contacted via phone (971) 304-9306.Contact Information
Primary practice address
4035 12Th St Cutoff Se Ste 120
Salem OR 97302
Phone: (971) 304-9306
Fax: (503) 926-6624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 209338 | Tennessee |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 201701389RN | Oregon |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 201701390NPPP | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0000022011 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 201701390NP-PP | Oregon |
Profile Details
| NPI number | 1952754442 |
|---|---|
| LBN Legal business name | Johnson, Nathan Patrick |
| Credentials | PMHNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2016 |
| Last updated | Jun 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952754442 | NPPES |
| Oregon | Other | 1952754442 | PECO, NPPES |
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