DONNA L JOHANNES (ANP, GNP) – Gerontology Nurse Practitioner, NPI 1164491148
Gerontology Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DONNA L JOHANNES (ANP, GNP)
4540 NE Glisan St
Portland, OR 972132333
Phone: (503) 215-3602
Fax: (503) 215-6942
Type: Location
17727 E BURNSIDE ST
PORTLAND, OR 97233
Phone: (503) 215-9800
Type: Mailing
4540, Northeast Glisan Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States
PORTLAND, OR 972132333
Phone: (503) 215-3602
Fax: (503) 215-6942
Type: Location
6750, Southwest Whisper Court, Highland, Beaverton, Washington County, Oregon, 97008, United States
BEAVERTON, OR 970085010
Phone: (503) 215-3602
Fax: (503) 215-6942
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-05-15
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97213)
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