Individual provider · Type 1 NPI

Mary Johnson, RN

School Registered Nurse · Portland, OR

NPI number 1578408167 Active

Practice location

11611 NE Ainsworth Cir
Portland, OR 97220-9017

Mailing address

111 NE Floral Pl
Portland, OR 97232-3407

Specialties and licenses

TaxonomyCodeLicense
School Registered Nurse Primary 163WS0200X088006646RN (OR)

School Registered Nurse: Definition to come...

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About NPI 1578408167

Mary Johnson, RN's National Provider Identifier is 1578408167, issued on Apr 21, 2026. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Portland, OR. The record was last updated on Apr 21, 2026.