Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellie Johnson

Individual provider Nurse Practitioner · NPI 1922887504

Ellie Johnson is a Nurse Practitioner in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 346-0545
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10016342 (OR)

Record details

NPI number1922887504
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2023
Last updated in NPPESJuly 26, 2026
Certification dateJuly 26, 2026
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011

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