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Penny Johnsrud

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NPI Number Detailed Information

Provider Information:

Name: Penny Johnsrud
Gender: F
Provider License Number If Given: 095006656N1

NPI Information:

NPI: 1851317598
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/14/2006

Last Update Date: 11/11/2011

Provider Business Mailing Address:

Address: 3727 NE MARTIN LUTHER KING JR BLVD ATTN: CREDENTIALING
Portland, OR 97212
Phone Number: 5037754931
Fax Number: 5037887285

Provider Business Practice Location Address:

Address: 501 NE HOOD AVE SUITE 100
Gresham, OR 97030
Phone Number: 5037754931
Fax Number: 5037887285

Provider Taxonomy:

Primary: 363LF0000X
Secondary (if any): 363LF0000X
State: OR

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About Penny Johnsrud

Penny Johnsrud ( PENNY JOHNSRUD ) is Definition Nurse Practitioner Physician in Gresham, OR. The NPI Number for Penny Johnsrud is 1851317598.
The current location address for Penny Johnsrud is 501 NE HOOD AVE SUITE 100 Gresham, OR 97030 and the contact number is 5037754931 and fax number is 5037887285. The mailing address for Penny Johnsrud is 3727 NE MARTIN LUTHER KING JR BLVD ATTN: CREDENTIALING Portland, OR 97212- 5037754931 (mailing address contact number - 5037754931).
Definition to come...

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FAQs:

What is the NPI Number for Penny Johnsrud ?


Answer: The NPI Number for Penny Johnsrud is 1851317598

Where is Penny Johnsrud located?


Answer: Penny Johnsrud is located at 501 NE HOOD AVE SUITE 100 Gresham, OR 97030.

What is the specialty for Penny Johnsrud ?


Answer: The Specialty of Penny Johnsrud is Definition Nurse Practitioner Physician.

Are there any online reviews for Penny Johnsrud ?


Answer: Not yet!

Are there any other health care providers in Gresham, OR?


Answer: Yes, there are given below...

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