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Penny Johnsrud, FNP
Family Nurse Practitioner in Gresham, Oregon
NPI 1851317598

Penny Johnsrud is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Penny Johnsrud practices in Gresham, OR and has the professional credentials of FNP. The NPI Number for Penny Johnsrud is 1851317598 and holds a License No. 095006656N1 (Oregon).

The current practice location address for Penny Johnsrud is 501 Ne Hood Ave, Gresham, OR and can be reached out via phone at 503-775-4931 and via fax at 503-788-7285. You can also correspond with Penny Johnsrud through the mailing address at 3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR - 97212-1112 (mailing address contact number: 503-775-4931).

Location: 501 Ne Hood Ave, Gresham, OR, 97212-1112
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Provider Profile Details
NPI Number
1851317598
Provider Name
Penny Johnsrud
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
501 Ne Hood Ave, Gresham, OR, 97212-1112
Phone Number
503-775-4931
Fax Number
503-788-7285
Provider Enumeration Date
07/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9636119 05 WA
212335 05 OR
institution
Provider Business Practice Location Address Details
Address
501 Ne Hood Ave
City
State
Zip
97030-7303
Phone Number
503-775-4931
Fax Number
503-788-7285
person
Provider Business Mailing Address Details
Address
501 Ne Hood Ave
City
State
Zip
97030-7303
Phone Number
503-775-4931
Fax Number
503-788-7285
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
095006656N1 (Oregon)
Definition
Definition to come...
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