Search › Oregon › 363LP0200X
Mallory Johnson, PEDIATRIC NP
NPI 1265699508 · on the registry since 2008 · sole proprietor
Practice
- Address
- 11790 Sw Barnes Rd. Blg A
Ste 140
Portland, OR 97225 - Phone
- (503) 643-2100
- Fax
- (503) 643-7300
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon