IndividualActive
Annie Johnson, CNM
NPI 1396029930 · Advanced Practice Midwife · Portland, OR
Provider details
- NPI number
- 1396029930
- Entity type
- Individual
- Primary specialty
- Advanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 201150133NP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3727 Ne Martin Luther King Jr Blvd
Portland, OR 97212-1112
Phone: (503) 775-4931
Fax: (503) 788-7285
Approximate (ZIP-level) locationGet directions
Mailing address
3727 Ne Martin Luther King Jr Blvd
Portland, OR 97212-1112
Registry dates
- Enumerated
- 2011-09-30
- Last updated
- 2011-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.