Individual
DEBRA F JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
831 NW COUNCIL DR STE 125, GRESHAM, OR 97030-3794
(503) 665-8176
(503) 665-8178
Mailing address
831 NW COUNCIL DR STE 125, GRESHAM, OR 97030-3794
(503) 665-8176
(503) 665-8178
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201601733NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201601734NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
RN059093
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
826729
—
AZ
Enumeration date
04/05/2006
Last updated
04/27/2026
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