Individual provider · Type 1 NPI

Ivy Johanson

Licensed Practical Nurse · Klamath Falls, OR

NPI number 1346908928 Active

Practice location

3305 Sunshine Pl
Klamath Falls, OR 97603-7059

Call (530) 774-0285 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10025020 (OR)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1346908928

Ivy Johanson's National Provider Identifier is 1346908928, issued on Dec 1, 2021. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Klamath Falls, OR. The record was last updated on Oct 7, 2025.