Search › Oregon › 363LA2100X
Gregory Johnson, APRN, AGACNP-BC
NPI 1821572876 · on the registry since 2018
Practice
- Address
- 9205 Sw Barnes Rd
Portland, OR 97225 - Phone
- (503) 216-2906
- Organisation at this address
- Trg, Llc
Northwest Permanente
Providence St Vincent
St. Vincent'S Hospitol
The Radiology Group PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 497
Additional practice sites
- 1 Medical Center Blvd, Cookeville, TN
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 363L00000X
363L00000X
363LA2100X
363LF0000X
363LG0600X
364SA2200X - Licence states on file
- TN, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon