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JUSTINE JOHANSEN RN
NPI 1164700464
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since August 03, 2011
4805 NE GLISAN ST, PORTLAND, OR 97213(503) 215-1111 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justine Johansen Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTINE JOHANSEN RN (NPI 1164700464) is an individual student in an organized health care education/training program in Portland, Oregon, licensed in Washington (RN60092547) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1164700464
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJUSTINE JOHANSENCredential: RN
Location Address4805 NE GLISAN STPortland, OR 97213-2933
Mailing Address4805 Ne Glisan StPortland, OR 97213-2933 · (503) 215-1111
Phone(503) 215-1111
Sole ProprietorYes
Enumeration DateAugust 3, 2011
✔ NPI 1164700464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · RN60092547
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60092547 (WA), 200743173RN (OR)
4805 NE GLISAN ST, Portland, OR 97213
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SALONA SHRESTHA MD
Internal Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-2392
PROVIDENCE HEALTH & SERVICES - OREGON
General Acute Care Hospital
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 451-3000
DR. ROBERT THOMAS MARTIN M.D.
Emergency Medicine
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 297-6334
CECILIA BRADFORD CRNA
Nurse Anesthetist, Certified Registered
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
PROVIDENCE HEALTH & SERVICES - OREGON
Psychiatric Unit
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-4323
GITA D GELFER DO
Hospitalist
4805 NE GLISAN ST, STE BG05
PORTLAND, OR 97213
Multnomah County (503) 215-2392
MECCA CARTER
Doula
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111
JESUS ERNESTO CONRIQUE GARCIA
Nurse's Aide
4805 NE GLISAN ST
PORTLAND, OR 97213
Multnomah County (503) 215-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justine Johansen's NPI number?

The NPI number for Justine Johansen is 1164700464. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Where is Justine Johansen located?

Justine Johansen practices at 4805 NE Glisan St, Portland, OR 97213. The listed phone number is (503) 215-1111.

What is Justine Johansen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Justine Johansen was last updated on August 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.