Penny Johnsrud is a Family in Portland, Oregon. Penny Johnsrud practices all healthcare services and medical treatments related to Family. The NPI Number for Penny Johnsrud is 1851317598. The last update date is 2011-11-11.
Penny Johnsrud's current location address is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. You can contact this provider via phone number 5037754931 and fax number 5037887285. The mailing address for Penny Johnsrud is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny Johnsrud |
|---|---|
| Address | 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon |
| Phone Number | 5037754931 |
| Fax Number | 5037887285 |
| Sole Proprietor | N |
| Credentials | FNP |
NPI Number Detail
| NPI Number | 1851317598 |
|---|---|
| Provider Enumeration Date | 2006-07-14 |
| Last Updated Date | 2011-11-11 |
Provider Mailing Address Detail
| Address | 3727 Ne Martin Luther King Jr Blvd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972121112 |
| Phone Number | 5037754931 |
| Fax Number | 5037887285 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 095006656N1 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9636119 | WA | -- | |
| 212335 | OR | -- |
Post Comment/ Review Below
What is the Penny Johnsrud's 1851317598?
The Penny Johnsrud's NPI (National Provider Identifier) Number is 1851317598. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Penny Johnsrud located?
The Penny Johnsrud is located at 3727 Ne Martin Luther King Jr Blvd, Portland, OR 972121112.
What is Penny Johnsrud's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Penny Johnsrud is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1851317598 to Penny Johnsrud?
The Centers for Medicare & Medicaid Services originally issued the 1851317598 to Penny Johnsrud on 2006-07-14.
As of what date were the details related to Penny Johnsrud most recently updated or revised?
The information pertaining to Penny Johnsrud, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-11.