NPI Code Detail JSON Logo

1437409414 NPI number — MARLENA LAURA-JOANN JOHNSON QMHP

NPI Number: 1437409414
Health Care Provider/Practitioner: MARLENA LAURA-JOANN JOHNSON QMHP

Information about “1437409414” NPI (MARLENA LAURA-JOANN JOHNSON QMHP) exists in 1437409414 in HTML format HTML  |  1437409414 in plain Text format TXT  |  1437409414 in PDF (Portable Document Format) PDF  |  1437409414 in an XML format XML  formats.

NPI Number : 1437409414 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437409414",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "JOHNSON",
    "FirstName": "MARLENA",
    "MiddleName": "LAURA-JOANN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "QMHP",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JOHNSON",
    "OtherFirstName": "MARLENA",
    "OtherMiddleName": "LAURA-JOANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "QMHP",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "901 BRUTSCHER ST STE D PMB 150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWBERG",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97132-6096",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-431-0063",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "444 VILLA RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWBERG",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97132-1856",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-431-0063",
    "PracticeLocationAddressFaxNumber": "503-554-1848",
    "EnumerationDate": "09/17/2012",
    "LastUpdateDate": "05/15/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "094265",
        "LicenseNumberStateCode": "OR",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.