IndividualActive
Alice Johnson, FNP
NPI 1144373200 · Family Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1144373200
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 089006406N1 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
426 Sw Stark St
8th Floor
Portland, OR 97204-2347
Phone: (503) 988-3674
Fax: (503) 988-5182
Approximate (ZIP-level) locationGet directions
Mailing address
421 Sw Oak St
Portland, OR 97204-1817
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2009-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.