MARY E GRANT (NPI# 1811989379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811989379 |
| Entity Type | Individual |
| Full Name | MARY E GRANT |
| Credential | ANP |
| Practice Address |
6410 Ne Halsey Street Suite 300 Portland OR 97213-4742 |
| Mailing Address |
P.o. Box 3158 Portland OR 97208-3158 |
| Practice Telephone | 5032152669 |
| Practice Fax Number | 5032158465 |
| Mailing Telephone | 5032156494 |
| Mailing Fax Number | 5032156644 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
077037862N3 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9640087 | 05 | |
| OR | 128111 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700339173 | Mary Grant | Dentist | 5160 S Pulaski Rd, Suite 102, Chicago, IL 60632-4253 | 2016-08-02 |
| 1619295003 | Mary L Grant | Registered Nurse | 912 Karl St, Green Bay, WI 54301-2225 | 2010-05-10 |
| 1114139581 | Mary Elizabeth Grant | Registered Nurse | 1120 63rd St S, Gulfport, FL 33707-3125 | 2007-05-05 |
| 1629029434 | Mary Christine Grant | Psychologist | 1655 Elmwood Ave, Ste 135, Rochester, NY 14620 | 2006-05-15 |
| 1558321208 | Mary Alyster Grant | Optometrist | 2755 E Desert Inn Rd, #700, Las Vegas, NV 89121-3690 | 2006-03-26 |
| 1689144420 | Mary Grant | Counselor | 411 W Division St, Manteno, IL 60950-1065 | 2018-12-04 |
| 1306382056 | Mary Grant | Registered Nurse | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2017-01-18 |
| 1265988141 | Mary Catherine Grant | Counselor | 2910 Briarcliffe Rd Ste A, Winston Salem, NC 27106-3177 | 2016-08-30 |
| 1295172518 | Mary Diane Grant | Social Worker | 4001 W Dayton St, Mchenry, IL 60050-8377 | 2013-05-28 |
| 1669707360 | Mary Elizabeth Grant | Counselor | 1380 Rte 286 Hwy E, Indiana, PA 15701-1461 | 2009-10-14 |
| Street Address |
6410 NE HALSEY STREET SUITE 300 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-4742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376656561 | Lori Siegal | Internal Medicine | 6410 Ne Halsey Street, Suite 300, Portland, OR 97213-4742 | 2006-08-15 |
| 1518952415 | Dorece G Norris | Family Medicine | 6410 Ne Halsey Street, Portland, OR 97213-4742 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1023590841 | Healthy At Home LLC | Nurse Practitioner | 3910 Ne 99th Ave, Portland, OR 97220-3620 | 2018-08-29 |
| 1437648946 | Stephanie Michele Johnson | Nurse Practitioner | 3560 Se 79th Ave, Portland, OR 97206-2372 | 2018-05-09 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1154694941 | Donald Upton | Nurse Practitioner | 6959 N Fenwick Ave, Portland, OR 97217-5305 | 2012-02-09 |
| 1497073936 | Jeffrey Grimm | Nurse Practitioner | 1741 Nw 24th Ave, Portland, OR 97210 | 2010-05-07 |
| 1548469869 | Ashlyn J Cross | Nurse Practitioner | Department of Dermatology 3303 Bond Ave., Portland, OR 97239-4501 | 2007-07-17 |
| 1326256959 | Mary Thompson Pierce | Nurse Practitioner | 1750 Nw Naito Parkway, Suite 100, Portland, OR 97209-2533 | 2007-05-18 |
| 1669595237 | Shannon Marie Gwartney | Nurse Practitioner | 808 Sw 15th Ave., Portland, OR 97205 | 2007-04-09 |
| Find all providers in PORTLAND | ||||
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| 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.