Johansen, Justine

Johansen, Justine is an sole proprietor health care provider with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Nursing Service Providers / Registered Nurse. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Johansen, Justine can be contacted via phone (503) 215-1111.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 215-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X RN60092547 Washington
Nursing Service Providers / Registered Nurse 163W00000X RN60092547 Washington
Nursing Service Providers / Registered Nurse 163W00000X 200743173RN Oregon

Profile Details

NPI number 1164700464
LBN Legal business name Johansen, Justine
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2011
Last updated Aug 3rd, 2011 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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