Mallory Johnson is a Pediatrics in Portland, Oregon. Mallory Johnson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mallory Johnson is 1265699508. The last update date is 2021-10-18.
Mallory Johnson's current location address is 11790 Sw Barnes Rd. Blg A, Portland, Oregon. You can contact this provider via phone number 5036432100 and fax number 5036437300. The mailing address for Mallory Johnson is 11790 Sw Barnes Rd. Blg A, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mallory Johnson |
|---|---|
| Address | 11790 Sw Barnes Rd. Blg A, Portland, Oregon |
| Phone Number | 5036432100 |
| Fax Number | 5036437300 |
| Sole Proprietor | Y |
| Credentials | PEDIATRIC |
NPI Number Detail
| NPI Number | 1265699508 |
|---|---|
| Provider Enumeration Date | 2008-05-22 |
| Last Updated Date | 2021-10-18 |
Provider Mailing Address Detail
| Address | 11790 Sw Barnes Rd. Blg A |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97225 |
| Phone Number | 5036432100 |
| Fax Number | 5036437300 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 200850163NP |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Mallory Johnson?
The Mallory Johnson has been issued the NPI (National Provider Identifier) 1265699508 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mallory Johnson?
The Mallory Johnson is physically situated at 11790 Sw Barnes Rd. Blg A, in the city of Portland, state of OR, with the postal code 97225.
What is Mallory Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mallory Johnson is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 363Lp0200X.
When did the Mallory Johnson receive its 1265699508?
The Mallory Johnson was issued its 1265699508 on 2008-05-22, which is the date when the organization was assigned this unique identifier.
As of what date were the Mallory Johnson's details last updated?
The information pertaining to the Mallory Johnson, including its address, specialty, and other details, was most recently updated on 2021-10-18.
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