Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Mallory Johnson, PEDIATRICNP

Individual provider Pediatric Nurse Practitioner · NPI 1265699508

MS. Mallory Johnson, PEDIATRICNP is a Pediatric Nurse Practitioner in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2008
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

11790 SW Barnes Rd Blg A Ste 140
Portland, OR 97225
Phone: (503) 643-2100
Fax: (503) 643-7300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 200850163NP (OR)

Record details

NPI number1265699508
Entity typeIndividual (Type 1)
GenderFemale
Credentials PEDIATRICNP
Sole proprietorYes
NPI enumeratedMay 22, 2008
Last updated in NPPESOctober 18, 2021
Certification dateOctober 18, 2021

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $28 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Other providers in Portland