Nancy Kelly Johnson in Portland - Pediatrics
Nancy Kelly Johnson - NPI 1861589681
Nancy Kelly Johnson is a Pediatrics in Portland, Oregon. Nancy Kelly Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Nancy Kelly Johnson is 1861589681. The last update date is 2021-10-21.
Nancy Kelly Johnson's current location address is 11790 Sw Barnes Rd Ste 140, Portland, Oregon. You can contact this provider via phone number 5036460161 and fax number 5036437459. The mailing address for Nancy Kelly Johnson is 11790 Sw Barnes Rd Ste 140, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nancy Kelly Johnson |
|---|---|
| Address | 11790 Sw Barnes Rd Ste 140, Portland, Oregon |
| Phone Number | 5036460161 |
| Fax Number | 5036437459 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1861589681 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2021-10-21 |
Provider Mailing Address Detail
| Address | 11790 Sw Barnes Rd Ste 140 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972255938 |
| Phone Number | 5036460161 |
| Fax Number | 5036437459 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD17293 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58474 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Nancy Kelly Johnson by the Centers for Medicare & Medicaid Services?
The Nancy Kelly Johnson has been issued the NPI (National Provider Identifier) 1861589681 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Nancy Kelly Johnson is located?
The Nancy Kelly Johnson is situated at the following address: 11790 Sw Barnes Rd Ste 140, Portland, OR, 972255938.
What is Nancy Kelly Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Nancy Kelly Johnson is Pediatrics, and the taxonomy code that classifies this field of practice is 208000000X.
When did the Nancy Kelly Johnson receive its 1861589681?
The Nancy Kelly Johnson was issued its 1861589681 on 2006-10-05, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Nancy Kelly Johnson last refreshed?
The information related to the Nancy Kelly Johnson, including its address, specialty, and other relevant details, was last updated on 2021-10-21.
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