Johnson, Annie E

Johnson, Annie E is an individual health care provider with primary practice located at 3727 Ne Martin Luther King Jr Blvd , Portland OR 97212-1112. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Johnson, Annie E can be contacted via phone (503) 775-4931.

Contact Information

Primary practice address
3727 Ne Martin Luther King Jr Blvd Portland OR 97212-1112
Phone: (503) 775-4931
Fax: (503) 788-7285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201150133NP Oregon

Profile Details

NPI number 1396029930
LBN Legal business name Johnson, Annie E
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2011
Last updated Nov 11th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396029930 NPPES
Oregon MEDICAID 500638527

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