Search › Oregon › 363LA2100X
Priscilla Johansen
NPI 1720997406 · on the registry since 2026
Practice
- Address
- 7124 S Virginia Ave
Portland, OR 97219 - Phone
- (503) 548-8622
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-07
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