Dr. Clotilde Amelia Johnson-Beale, M.D., M.P.H.
Pediatrics in Gresham, OR. Individual provider (NPI-1).
NPI number1760655575
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1760655575
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clotilde Amelia Johnson-Beale
- Credential
- M.D., M.P.H.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2008
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | MD158570 | OR | Yes |
Practice location
25050 Se Stark St Ste 300Gresham, OR 97030-3388
Phone 503-667-8878 · Fax 503-667-0310
Mailing address
25050 Se Stark St Ste 300Gresham, OR 97030-3388
Phone 503-667-8878 · Fax 503-667-0310
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