Individual
JOHANNAH MARIE GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
280 S 1ST AVE, MILL CITY, OR 97360-2324
(503) 897-4100
(503) 897-2673
Mailing address
280 S 1ST AVE, MILL CITY, OR 97360-2324
(503) 897-4100
(503) 897-2673
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202110588NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
NA
OR
Other
Enumeration date
09/28/2021
Last updated
10/26/2021
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