MALLORY JOHNSON

PORTLAND, OR
NPI1265699508
Former NameMALLORY BRAUN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR  200850163NP)
Enumeration Date2008-05-22
Last Update Date2021-10-18
Business Address
Ms. MALLORY JOHNSON Pediatric NP
11790 SW BARNES RD. BLG A STE 140
PORTLAND, OR 97225
Phone number: 503-643-2100
Mailing Address
Ms. MALLORY JOHNSON Pediatric NP
11790 SW BARNES RD. BLG A STE 140
PORTLAND, OR 97225
Phone number: 503-643-2100
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