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Active NPI 1265699508 Individual Practitioner Female Practitioner

Mallory Johnson , PEDIATRIC NP

Nurse Practitioner - Pediatrics • Portland, OR

Professional Overview & Biography Verified Profile Summary

Mallory Johnson, PEDIATRIC NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Portland, OR. Practice services are available at 11790 SW BARNES RD. BLG A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11790 Sw Barnes Rd. Blg A
Ste 140

Portland, OR 97225

Telephone 5036432100
Fax 5036437300
Associated Practice Facility / Clinic
🏢 Integrative Pediatrics Llc Facility NPI 1194987206

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
119 Specialists

Practicing in Portland, OR (225 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-18
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 200850163NP

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Suzanne Emery , ARNP

Nurse Practitioner - Family

NPI 1205362597

Advanced Registered Nurse Practitioner

NPI 1285692137

Doctor of Medicine (M.D.)

Shaudine Woody , CPNP-PC

Nurse Practitioner - Pediatrics

NPI 1295273399

CPNPPC

Gabriel Francetich , PA-C

Physician Assistant

NPI 1710497185

Physician Assistant (Certified)

NPI 1730606716

Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2016

Registered at 11790 SW BARNES RD. BLG A, STE 140, PORTLAND, OR 97225 (Tel: 5036432100)

📍
Updated Business Mailing Address April 14, 2016

Registered at 11790 SW BARNES RD. BLG A, STE 140, PORTLAND, OR 97225 (Tel: 5036432100)

👤
Provider Name / Credentials Updated April 14, 2016

Recorded as MALLORY JOHNSON, PEDIATRIC NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2016

Nurse Practitioner (License #200850163NP in OR)

🟢
Initial NPI Registration & Enumeration May 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265699508
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2008
Last Update: October 18, 2021
Sole Proprietor: Yes

Mailing Address

11790 Sw Barnes Rd. Blg A, Ste 140

Portland, OR 97225

Phone: 5036432100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.