MARISA PROTASEL JOHNSON

PORTLAND, OR
NPI1699011767
Other NameMARISA SAYLER PROTASEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202208550NP-PP)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WA  RN60200108)
363L00000X Nurse Practitioner
(Licence: WA  AP61312604)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.021409)
163W00000X Registered Nurse
(Licence: OR  202208453RN)
163W00000X Registered Nurse
(Licence: IL  041495198)
Enumeration Date2012-12-18
Last Update Date2024-03-21
Business Address
Mrs. MARISA PROTASEL JOHNSON PMHNP-BC
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
Mailing Address
Mrs. MARISA PROTASEL JOHNSON PMHNP-BC
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044