IndividualActive
Mary Johnson, RN
NPI 1578408167 · School Registered Nurse · Portland, OR
Provider details
- NPI number
- 1578408167
- Entity type
- Individual
- Primary specialty
- School Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 088006646RN (OR)
Specialties & taxonomies
Nursing Service Providers
Practice location
11611 Ne Ainsworth Cir
Portland, OR 97220-9017
Phone: (503) 257-1732
Approximate (ZIP-level) locationGet directions
Mailing address
111 Ne Floral Pl
Portland, OR 97232-3407
Registry dates
- Enumerated
- 2026-04-21
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.