NPI 1063399426

Kelsey Lee Johnson

Practitioner Technician Beaverton, OR

Practice location

Address: 1975 NW 167th Pl # 53, Beaverton, OR 97006-4908
Phone: (503) 730-2973

Registered specialties

Technician Primary

Nursing Service Related Providers Taxonomy 374700000X Licence BAP-E-10258397 (OR)

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Registry record

NPI: 1063399426
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2025
Record last updated: 18 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.