Johnson, Debra F

Johnson, Debra F is an individual health care provider with primary practice located at 831 Nw Council Dr Suite 101, Gresham OR 97030-3721. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Debra F can be contacted via phone (503) 665-8176.

Contact Information

Primary practice address
831 Nw Council Dr Suite 101 Gresham OR 97030-3721
Phone: (503) 665-8176
Fax: (503) 665-8178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN059093 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201601734NP-PP Oregon

Profile Details

NPI number 1518929405
LBN Legal business name Johnson, Debra F
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Aug 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518929405 NPPES
Arizona MEDICAID 826729

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