ELLIE JOHNSON

PORTLAND, OR
NPI1922887504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10016342)
Enumeration Date2023-09-25
Last Update Date2026-07-26
Business Address
ELLIE JOHNSON
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-346-0545
Mailing Address
ELLIE JOHNSON
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-346-0545
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