Individual provider · Type 1 NPI

Penelope J. Johnson

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1235939174 Active

Practice location

1130 SE Morrison St Apt 437
Portland, OR 97214-2597

Call (503) 896-3163 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235939174

Penelope J. Johnson's National Provider Identifier is 1235939174, issued on Mar 18, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Mar 18, 2025.