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PENNY JOHNSRUD FNP
NPI 1851317598
Nurse Practitioner - Family in Gresham, OR

Active since July 14, 2006
501 NE HOOD AVE, SUITE 100, GRESHAM, OR 97030(503) 775-4931(503) 788-7285 Get Directions Write a Review

NPPES record last updated: November 11, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Penny Johnsrud Fnp NPPES

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

PENNY JOHNSRUD FNP (NPI 1851317598) is an individual family provider in Gresham, Oregon, licensed in Oregon (095006656N1) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1851317598
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePENNY JOHNSRUDCredential: FNP
Location Address501 NE HOOD AVE, SUITE 100Gresham, OR 97030-7303
Mailing Address3727 Ne Martin Luther King Jr Blvd, Attn: CredentialingPortland, OR 97212-1112 · (503) 775-4931 · Fax (503) 788-7285
Phone(503) 775-4931
Fax(503) 788-7285
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 11, 2011
✔ NPI 1851317598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in OR · 095006656N1✔ Licensed in WA · AP30005364
501 NE HOOD AVE, Gresham, OR 97030
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Other Identifiers 2

Medicaid9636119WA
Medicaid212335OR

Other Providers at the Same Location NPPES 10

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

DR. TOD M HARDIN DMD, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
501 NE HOOD AVE, SUITE 305
GRESHAM, OR 97030
Multnomah County (503) 666-2196
ACTIVE FAMILY CHIROPRACTIC, LLC
Chiropractor (Sports Physician)
501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030
Multnomah County (503) 674-7894
HARDIN ORTHODONTICS
Dentist (Orthodontics and Dentofacial Orthopedics)
501 NE HOOD AVE, SUITE 305
GRESHAM, OR 97030
Multnomah County (503) 666-2196
COLUMBIA MEDICAL AND ENDOCRINE CLINIC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
501 NE HOOD AVE, SUITE 215
GRESHAM, OR 97030
Multnomah County (503) 667-8400
DR. STEPHEN K. CHOONG M.D.
Surgery
501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030
Multnomah County (503) 661-6765
SUMMER A ARCHIBALD D.D.S.
Dentist (General Practice)
501 NE HOOD AVE, SUITE 333
GRESHAM, OR 97030
Multnomah County (503) 661-2600
TATYANA J DEMBROW ARNP
Nurse Practitioner (Family)
501 NE HOOD AVE, SUITE 100
GRESHAM, OR 97030
Multnomah County (503) 775-4931
KAITLYN R DAILY LMT
Massage Therapist
501 NE HOOD AVE, SUITE 205
GRESHAM, OR 97030
Multnomah County (503) 674-7894

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 Penny Johnsrud's NPI number?

The NPI number for Penny Johnsrud is 1851317598. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Penny Johnsrud located?

Penny Johnsrud practices at 501 NE Hood Ave Suite 100, Gresham, OR 97030. The listed phone number is (503) 775-4931.

What is Penny Johnsrud's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Penny Johnsrud was last updated on November 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.