Individual provider · Type 1 NPI
Carolyn Marie Johns, MSN, ANP-BC
Adult Health Nurse Practitioner · Portland, OR
NPI number
1477856409
Active
Practice location
3181 SW Sam Jackson Park Road, Kohler Pavilion 14 Floor, Ohsu Center For Hematologic Malignancies
Portland, OR 97239
Fax (503) 494-1552
Mailing address
3181 SW Sam Jackson Park Road, Mail Code UHN73C Ohsu Center For Hematologic Malignanci
Portland, OR 97239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | SP011097 (PA) |
| Nurse Practitioner | 363L00000X | 004792 (CT) |
| Adult Health Nurse Practitioner | 363LA2200X | SP011097 (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 201350105NP (OR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1477856409
Carolyn Marie Johns, MSN, ANP-BC's National Provider Identifier is 1477856409, issued on Dec 14, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Jun 12, 2013.