IndividualActive
Donna Johannes, ANP, GNP
NPI 1164491148 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1164491148
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP, GNP
- Sex
- Female
- Sole proprietor
- No
- License
- 000037597N3 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17727 E Burnside St
Portland, OR 97233
Phone: (503) 215-9800
Street-level locationGet directions
Mailing address
17727 E Burnside St
Portland, OR 97233
Additional practice locations (1)
- 4540 Ne Glisan StPortland, OR 97213-2333Phone: (503) 215-3602Fax: (503) 215-6942
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2024-10-31
- Certified
- 2024-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.