MS. MARY BETH BROWN (NPI# 1285832360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285832360 |
| Entity Type | Individual |
| Full Name | MS. MARY BETH BROWN |
| Credential | FNP |
| Practice Address |
4015 Mercantile Dr Ste 200 Lake Oswego OR 97035-2552 |
| Mailing Address |
Po Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032161500 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
089006127N1 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
3007648 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 274252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952953515 | Mary Brown | Point of Service | 2673 Del Mar Dr, Grand Junction, CO 81506-1721 | 2019-07-14 |
| 1801371448 | Mary Lee Brown | Registered Nurse | 1220 W Sandusky St, Findlay, OH 45840-2336 | 2018-09-29 |
| 1558866806 | Mary Brown | Nurse Practitioner | 418 Grand Park Dr Ste 312, Parkersburg, WV 26105-4000 | 2018-03-28 |
| 1174021646 | Mary Anne Brown | Nurse Practitioner | 10895 Magnolia Ave, Riverside, CA 92505-3057 | 2018-01-30 |
| 1639687544 | Mary Louise Brown | Home Health Aide | 149 Charles St, Barnwell, SC 29812-1674 | 2018-01-12 |
| 1730691569 | Mary Katherine Brown | Dietitian, Registered | 3007 Beverly Dr, Fort Smith, AR 72901-4201 | 2017-11-02 |
| 1023529831 | Mary Catherine Brown | Nurse Practitioner | 144 Kensington Ave, Buffalo, NY 14214-2726 | 2017-10-19 |
| 1487007712 | Mary P Brown | Physical Therapist | 201 Christy Ln, Trussville, AL 35173-5248 | 2016-07-21 |
| 1194183483 | Mary Caitlin Brown | Occupational Therapist | 126 Sunningdale Dr, Georgetown, KY 40324-8889 | 2016-02-02 |
| 1306225321 | Mary Brown | Speech-Language Pathologist | 2200 S Lions Ave, Broken Arrow, OK 74012-6863 | 2015-05-22 |
| Street Address |
4015 MERCANTILE DR STE 200 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295789428 | Gillian C Rosicky | Registered Nurse | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2006-05-20 |
| 1952770802 | Elizabeth York | Physician Assistant | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2015-09-22 |
| 1508201161 | Caroline Schmitz | Physician Assistant | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2013-05-08 |
| 1699847731 | Darren Blaine Lewis | Family Medicine | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2006-11-14 |
| 1205937273 | Providence Health & Services - Oregon | Clinic/Center | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2006-09-25 |
| 1548370380 | Mark Stephen Jardini | Family Medicine | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2006-08-30 |
| 1417980335 | Kristina R Rashid | Family Medicine | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2006-07-07 |
| 1851322366 | Ruth A Fischer-wright | Family Medicine | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2006-07-05 |
| 1699715227 | Barbara Jean Britsch | Physician Assistant | 4015 Mercantile Dr, Suite 200, Lake Oswego, OR 97035-2552 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1093053431 | Housecall Medical Services, Inc | Nurse Practitioner | 49 Ladd St, Lake Oswego, OR 97034-3853 | 2013-01-18 |
| 1891982286 | James Edward Suiter | Nurse Practitioner | 5 Centerpointe Drive, Suiter 600, Lake Oswego, OR 97035-8662 | 2007-09-28 |
| 1447364799 | Carol Jean Thamert | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2006-08-17 |
| 1093314874 | Charise Lynne Monte | Nurse Practitioner | 5 Centerpointe Dr, Lake Oswego, OR 97035-8651 | 2020-10-22 |
| 1093272015 | Tierney Newman | Nurse Practitioner | 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035-2479 | 2019-02-26 |
| 1821598921 | Vickie T. Pham | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2018-02-15 |
| 1083130058 | Anthony Hernandez | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2017-08-21 |
| 1265887335 | Amy Humphrey | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035-8662 | 2016-04-26 |
| 1528439916 | Courtney Renae Summerskill | Nurse Practitioner | 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 | 2015-10-12 |
| Find all providers in LAKE OSWEGO | ||||
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on MS. MARY BETH BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.