Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MALLORY JOHNSON, PEDIATRIC NP
Active Sole ProprietorMS. MALLORY JOHNSON, PEDIATRIC NP is a Pediatric Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1265699508 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · PORTLAND, OR
Registration Details
- NPI Number
- 1265699508
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 22, 2008 (18.255683277912 yrs)
- Last Updated
- Oct 18, 2021
- License
-
200850163NP (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11790 SW BARNES RD. BLG ASTE 140PORTLAND, OR, 97225Browse OR providers · Browse ZIP 97225
- Phone
- 5036432100
- Fax
- 5036437300
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
Other Pediatric Nurse Practitioner Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| JENNIFER J SIEBOLD | CPNP | 1184620445 |
| J SUZANNE NELSON | PNP | 1609872985 |
| CHRISTOPHER CONRADY | CPNP | 1790759991 |
| SHARON D BUTCHER | PNP | 1568437960 |
| MRS. PATRICIA KREINBERG VROOMAN | CPNP | 1043287204 |
| MR. MICHAEL LEE CHEWNING | PNP | 1518928209 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.