Doctor profile · Federal record
Dr. Mallory Johnson, Pediatric NP
Pediatric Nurse Practitioner · Portland, OR
- NPI 1265699508
- 18 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
11790 Sw Barnes RD. Blg A, Ste 140
Portland, OR 97225
(503) 643-2100
fax (503) 643-7300
Credentials & registration
- NPI registered
- May 2008 — 18 yrs on file
- Profile last updated
- October 18, 2021
- Specialty taxonomy
- 363LP0200X — NUCC code
- State license (1)
- Oregon #200850163NP
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1265699508. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Alk-Abello, INC | 1 | $21.55 |
By nature of payment
Frequently asked questions
What is Dr. Mallory Johnson's medical specialty?
Dr. Mallory Johnson practices Pediatric Nurse Practitioner in Portland, OR.
Where does Dr. Mallory Johnson practice?
Dr. Mallory Johnson practices at 11790 Sw Barnes RD. Blg A, Portland, OR 97225. Office phone: 5036432100.
What is Dr. Mallory Johnson's NPI?
Dr. Mallory Johnson's National Provider Identifier (NPI) is 1265699508, issued by NPPES.