MARY K BUSHNELL


Address: 2415 Se 43rd Ave, Suite 100, Portland, OR 97206-1600
Phone: 5039632575

MARY K BUSHNELL (NPI# 1336287085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336287085
Entity Type Individual
Full Name MARY K BUSHNELL
Credential PMHNP
Practice Address 2415 Se 43rd Ave
Suite 100
Portland
OR 97206-1600
Practice Telephone 5039632575
Practice Fax Number 5038720116
Mailing Telephone 5039632575
Mailing Fax Number 5038720116
Enumeration Date 2007-02-02
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
OR Physician Assistants & Advanced Practice Nursing Providers

Other Providers MARY BUSHNELL

NPI Name Taxonomy Address Enumeration
1861687360 Mary Lu Bushnell Clinical Neuropsychologist 650 E Indian School Rd # 116b, Phoenix, AZ 85012-1839 2007-09-09
1174130470 Mary Lelia Bushnell Case Manager/Care Coordinator 905 E 7th Ave Ste 2, Oakdale, LA 71463-2788 2020-09-30

Office Location

Street Address 2415 SE 43RD AVE
SUITE 100
City PORTLAND
State OR
Zip Code 97206-1600

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164404836 David John Kohler Counselor 2415 Se 43rd Ave, Suite 100, Portland, OR 97206-1600 2005-11-17
1700486586 Tyler James Boulanger Psychologist 2415 Se 43rd Ave, Portland, OR 97206-1600 2020-10-29
1598385379 Kathy J Kelly Registered Nurse 2415 Se 43rd Ave, Portland, OR 97206-1600 2020-04-21
1689214967 Emily Hays Case Manager/Care Coordinator 2415 Se 43rd Ave, Portland, OR 97206-1600 2020-01-14
1083258750 Emily Wilder Counselor 2415 Se 43rd Ave, Portland, OR 97206-1600 2019-11-05
1639580012 Richard Gear Counselor 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 2014-05-19
1427468982 Kristina Hankamp Adult Companion 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 2014-05-05
1427477405 Kayla Cronenbold Counselor 2415 Se 43rd Ave, Portland, OR 97206-1600 2014-04-07
1770900136 Pavlina Rodriguez Counselor 2415 Se 43rd Ave, Portland, OR 97206-1600 2014-03-24
1508282989 M Selena Bellas Counselor 2415 Se 43rd Ave, Portland, OR 97206-1600 2014-03-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346852365 Amanda Kristine Fredrickson Dietitian, Registered 3611 Se 64th Ave., Portland, OR 97206 2020-08-20
1578108940 Amy Groulx Technician 5506 Se Mitchell St, Portland, OR 97206 2019-11-08
1477061265 Lisa Marie Matejka Naturopath 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 2018-01-16
1639625205 Mollie Kathleen Pence Registered Nurse 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 2016-09-01
1457709164 Lauren Murdoch Massage Therapist 4629 Southeast Woodstock Boulevard, Portland, OR 97206 2016-06-03
1962897785 Meigra Simon LLC Mechanotherapist 6842 Se Henry St, Portland, OR 97206 2015-03-30
1891186508 Teresa Leckron-myers Case Manager/Care Coordinator 7916 Se Foster Rd, Portland, OR 97206 2015-02-17
1831597590 Boey Yean Lim Acupuncturist 4629 Se Woodstock Blvd, Portland, OR 97206 2014-12-12
1295082329 Chase Heywood Price Acupuncturist 5425 Se Raymond Street, Portland, OR 97206 2012-08-08
1154678423 Annelise Sevastiana Schnase Counselor 4311 Se Woodstock Blvd, Portland, OR 97206 2012-08-06
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154920148 Hardcore Happy LLC Nurse Practitioner 740 Ne 116th Ct, Portland, OR 97220-2223 2020-10-20
1457967325 Megan L Langworthy Nurse Practitioner 1914 Se 46th Ave, Portland, OR 97215-3148 2020-09-16
1104446681 Skycloud Psychiatry LLC Nurse Practitioner 106 South West Woods St, Portland, OR 97201 2020-04-24
1730712290 Lucy Anne Bloedon Nurse Practitioner 4020 Sw Iowa St, Portland, OR 97221-3423 2020-02-12
1346802733 Compass Psychiatric Wellness LLC Nurse Practitioner 4300 Ne Fremont St Ste 260, Portland, OR 97213-1100 2019-07-05
1548721871 Cooke Therapy Pllc Nurse Practitioner 1125 Se Madison St Ste 102, Portland, OR 97214-3600 2019-03-28
1245719541 Scott J Whited Nurse Practitioner 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 2018-08-08
1467969220 Nw Mind-body Wellness, LLC Nurse Practitioner 16986 Nw Lynch Ln, Portland, OR 97229-1221 2018-01-02
1811441348 Anthony Hoy Nurse Practitioner 5562 Se Pine St, Portland, OR 97215-1276 2016-08-12
1700241254 Jacqueline J Cole Nurse Practitioner 5228 Ne Hoyt St Ste 300, Portland, OR 97213-3055 2015-12-29
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Competitor

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City PORTLAND
Zip Code 97206

Improve Information

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Dataset Information

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.

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