Priscilla Johansen

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

13666757 Issued in OR

Practice address

7124 S Virginia Ave
Portland, OR 97219-3035

Phone

(503) 548-8622

NPI assigned

Sep 7, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1720997406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 S VIRGINIA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 S VIRGINIA AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972193035",
            "telephone_number": "503-548-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "PRISCILLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OR",
            "license": "13666757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Johansen, LMT
• Justine Johansen, RN
• Lisa Ann Johansen, CADC-R
• Lyndon G Johansen, DPM
• Mark Ronald Johansen, D.C.
• Ronald R Johansen, D.C.
• Winnie Li Johansen
• Katherine Johanson, RPH
• Linden Johanson, LPC
• Tamzin Adair Johanson

• Acute Care Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Acute Care Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.