MEDICARE: DR. MARSHA ANN JOHNSON AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	21856	OR
2	237600000X	Audiologist-Hearing Aid Fitter	21856	OR
3	231HA2400X	Assistive Technology Practitioner Audiologist	21856	OR
4	231HA2500X	Assistive Technology Supplier Audiologist	21856	OR

General Provider Information

NPI Number	:	1457484024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARSHA ANN JOHNSON AU.D.

Provider Business Mailing Address
First Line	:	1827 NE 44TH AVE STE 130
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-1443
Country	:	US
Telephone Number	:	503-234-1221
Fax Number	:	503-234-4227

Provider Business Practice Location Address
First Line	:	1827 NE 44TH AVE STE 130
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-1443
Country	:	US
Telephone Number	:	503-234-1221
Fax Number	:	503-234-4227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	11/13/2025

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