Individual provider · Type 1 NPI
Priscilla Johansen
Acute Care Nurse Practitioner · Portland, OR
NPI number
1720997406
Active
Practice location
7124 S Virginia Ave
Portland, OR 97219-3035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 13666757 (OR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1720997406
Priscilla Johansen's National Provider Identifier is 1720997406, issued on Sep 7, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Sep 7, 2026.