Individual provider · Type 1 NPI

Amanda Johner, MD

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1891162715 Active

Practice location

1040 NW 22nd Ave Bldg 2, Suite 520
Portland, OR 97210-3057

Fax (503) 413-6547

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1891162715

Amanda Johner, MD's National Provider Identifier is 1891162715, issued on Aug 26, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2015.