Nancy Kelly Johnson
MD | Pediatrics | Female
Nancy Kelly Johnson, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
General Pediatrics. Nancy Kelly Johnson is also known as
Nancy Norwood Kelly.
Current practice location of Nancy Kelly Johnson is
11790 Sw Barnes Rd Ste 140, Portland, Oregon - 97225-5938. She can be contacted on phone at
503-646-0161 and fax number 503-643-7459.
Nancy Kelly Johnson is a sole proprietor of her business.
NPI number (Unique professional ID) for Nancy Kelly Johnson is
1861589681 which was assigned by NPPES on 05 Oct, 2006 and it was last updated on 21 Oct, 2021.
Nancy Kelly Johnson license number is
MD17293 for Pediatrics (208000000X) in Oregon.
Nancy Kelly Johnson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Nancy Kelly Johnson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Nancy Kelly Johnson |
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| Other Name : | Nancy Norwood Kelly |
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| Credential : | MD |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Nancy Kelly Johnson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 11790 Sw Barnes Rd Ste 140
Portland, OR, 97225-5938
United States |
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| Phone Number : | 503-646-0161 |
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| Fax Number : | 503-643-7459 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1861589681 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Oct, 2006 |
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| Last Updated On : | 21 Oct, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nancy Kelly Johnson are as mentioned. Primary taxonomy code for Nancy Kelly Johnson, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD17293 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Nancy Kelly Johnson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 058474 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 11790 Sw Barnes Rd Ste 140
Portland, OR, 97225-5938
United States |
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| Phone Number : | 503-643-2100 |
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| Fax Number : | 503-643-7459 |
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Business Location:
Patients can refer following map for directions to
Nancy Kelly Johnson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.