PRISCILLA JOHANSEN NPI 1720997406

NPI Information

  • NPI: 1720997406
  • Provider Name: PRISCILLA JOHANSEN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • Address: 7124 S VIRGINIA AVE
    PORTLAND, OR
    ZIP 97219
  • Phone: (503) 548-8622

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NPI Details

Priscilla Johansen is an acute care nurse practitioner in Portland, OR. Priscilla Johansen NPI is 1720997406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7124 S VIRGINIA AVE
PORTLAND, OR
ZIP 97219-035
Phone: (503) 548-8622

The enumeration date for this NPI number is 9/7/2026 and was last updated on 9/7/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care13666757OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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