Individual
JOHNNY NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11211 SE 82ND AVE STE Z, HAPPY VALLEY, OR 97086-7669
(971) 432-7555
Mailing address
502 W HIGHLAND BLVD, INVERNESS, FL 34452-4720
(352) 726-1551
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO226572
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2022
Last updated
08/07/2025
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