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

Nancy Kelly Johnson, MD

Individual provider Pediatrics Physician · NPI 1861589681

Nancy Kelly Johnson, MD is a Pediatrics Physician in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11790 SW Barnes Rd Ste 140
Portland, OR 97225-5938
Phone: (503) 646-0161
Fax: (503) 643-7459
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD17293 (OR)

Record details

NPI number1861589681
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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