Mallory Johnson, PEDIATRIC NP
Pediatric Nurse Practitioner · Portland, OR
Mallory Johnson, PEDIATRIC NP is a pediatric nurse practitioner with a practice address in Portland, Oregon, and NPI 1265699508, issued on May 22, 2008. Check the license (Oregon 200850163NP, as entered in NPPES) with the Oregon board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mallory Johnson
- Credential
- PEDIATRIC NP
- Primary taxonomy
- Pediatric Nurse Practitioner 363LP0200X
- License number
- 200850163NP OR
Self-reported in NPPES; status is on the state search - Practice location
- 11790 SW Barnes RD. Blg A, Portland, OR 97225
- Phone
- (503) 643-2100
- Enumerated
- May 22, 2008
- Record last updated
- Oct 18, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (503) 643-7300
- Entity
- Type 1 · individual
8 nearest pediatric nurse practitioner records → All 218 in Oregon → Look up another NPI →
Verify Mallory Johnson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Oregon board licenses this profession
Search for license 200850163NPCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $21.55
1 payment: food and beverage; the largest payer was ALK-Abello, Inc. The 7,169 providers of this specialty with any payment received $330.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Mallory Johnson among 218 pediatric nurse practitioner records in Oregon
Mallory Johnson, PEDIATRIC NP is one of 218 pediatric nurse practitioner records with a practice address in Oregon. 25% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 44% of them.
- NPI issued2008 · 44% of these records are older, 52% newer
- In a Medicare fileYes · 25% of these records are
- In the CMS Doctors and Clinicians fileNo · 7% of these records are
- Record last updated2021 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0200X and a Oregon practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Nurse Practitioner providers in Oregon
There are 218 pediatric nurse practitioner records in Oregon.
All 218 in Oregon → Every provider in Portland → Pediatric Nurse Practitioner nationwide →
The 8 pediatric nurse practitioner records with the nearest ZIP codes
- Cynthia Beall, NPPortland, OR 972251952573438
- Elizabeth Bruton, PNPPortland, OR 972251144419789
- Tehniyah Gomez, PNP-PCPortland, OR 972251720724388
- Lindsay Guthrie, CPNP-ACPortland, OR 972251891493607
- Madison Hossfeld, PNPPortland, OR 972251710777412
- Dodi Wade, MSN, PNPPortland, OR 972251023167079
- Wendy Ware, NPPortland, OR 972251861609539
- Shaudine Woody, CPNP-PCPortland, OR 972251295273399
Common questions
What is Mallory Johnson, PEDIATRIC NP's NPI number?
Mallory Johnson, PEDIATRIC NP's National Provider Identifier (NPI) is 1265699508, issued on May 22, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Mallory Johnson, PEDIATRIC NP located?
The NPPES record lists a practice address at 11790 SW Barnes RD. Blg A, Portland, OR, 97225. Phone: (503) 643-2100. Providers update this record themselves, so call before visiting.
How can I verify Mallory Johnson, PEDIATRIC NP's license?
NPPES lists Oregon license number 200850163NP, as entered by the provider. Search the Oregon board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.