Individual provider · Type 1 NPI

Grace Johnson Etukudo

Nurse's Aide · Clackamas, OR

NPI number 1326281346 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Fax (503) 571-9036

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide Primary 376K00000X200612655CNA (OR)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1326281346

Grace Johnson Etukudo's National Provider Identifier is 1326281346, issued on Apr 7, 2009. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Clackamas, OR. The record was last updated on Apr 7, 2009.