Penny Johnsrud, FNP

NPI #1851317598 in Gresham, Oregon

Provider Information

NPI Number
1851317598
Entity Type
Individual
Name
Penny Johnsrud, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Jul 14, 2006
Last Updated
Nov 11, 2011

Practice Location

Address
501 NE HOOD AVE
Address 2
SUITE 100
State
Oregon
ZIP Code
97030-7303
Phone
(503) 775-4931

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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