Nurse Practitioner, Pediatrics
Ms. MALLORY JOHNSON Pediatric NP
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1265699508 · enumerated 2008-05-22 · record updated 2021-10-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: MALLORY BRAUN
Addresses and phones
- Practice location 11790 SW BARNES RD. BLG A, STE 140, PORTLAND, OR, 97225 (503) 643-2100 Fax (503) 643-7300 Google Maps Apple Maps OpenStreetMap
- Mailing address 11790 SW BARNES RD. BLG A, STE 140, PORTLAND, OR, 97225 (503) 643-2100 Fax (503) 643-7300 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 200850163NP OR
In this directory
OR Washington County Portland Nurse Practitioner, Pediatrics
Locations and evidence
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Practice location
PORTLAND, OR, 97225
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.