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Individual

MS. CAROLYN MARIE JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, ANP-BC

Contact information

Practice address
3181 SW SAM JACKSON PARK ROAD, KOHLER PAVILION 14 FLOOR, OHSU CENTER FOR HEMATOLOGIC MALIGNANCIES, PORTLAND, OR 97239
(503) 494-1551
(503) 494-1552
Mailing address
3181 SW SAM JACKSON PARK ROAD, MAIL CODE UHN73C OHSU CENTER FOR HEMATOLOGIC MALIGNANCI, PORTLAND, OR 97239
(503) 494-1551
(503) 494-1552

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
004792
CT
363L00000X
Nurse Practitioner
SP011097
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
201350105NP
OR
363LA2200X
Adult Health Nurse Practitioner
SP011097
PA

Other

Enumeration date
12/14/2010
Last updated
06/12/2013
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