MARY K MARSHALL (NPI# 1912914367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912914367 |
| Entity Type | Individual |
| Full Name | MARY K MARSHALL |
| Credential | ANP |
| Practice Address |
17225 Nw Tucson St Beaverton OR 97006-7431 |
| Practice Telephone | 5036902108 |
| Mailing Telephone | 5036902108 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003867 | Mary Ann Marshall | Registered Nurse | 566 Naples St Apt 243, Chula Vista, CA 91911-1853 | 2012-08-16 |
| 1518266824 | Mary Elizabeth Marshall | Physical Therapist | 1201 Us Highway 10 W, Unit E, Livingston, MT 59047-9022 | 2011-03-25 |
| 1457674673 | Mary S Marshall | Developmental Therapist | 318 Cherry Way, Saint Johns, FL 32259-7003 | 2010-03-02 |
| 1679738439 | Mary Vindice Marshall | Nutritionist | 78 Spring St, Medford, MA 02155-4855 | 2008-07-22 |
| 1740403989 | Mary Ruth Marshall | Dentist | 7643 Market Street, Wilmington, NC 28411 | 2007-04-10 |
| 1760529457 | Mary Marshall | Counselor | 406 W 34th St # 501, Kansas City, MO 64111-2778 | 2007-01-31 |
| 1770030801 | Mary L Marshall | Registered Nurse | 1340 Charles St, Suite 300, Rockford, IL 61104-2200 | 2016-09-07 |
| 1336502822 | Mary C Marshall | Internal Medicine | 2451 Fillingim St, Res. Box 7th Floor, Mobile, AL 36617-2238 | 2016-04-01 |
| 1700186426 | Mary Jane Marshall | Dentist | 525 N Tryon St, Suite 1600, Pmb 209, Charlotte, NC 28202-0202 | 2010-10-28 |
| 1003079039 | Mary Marshall | Counselor | 91 Glendale St, Highland Park, MI 48203-3274 | 2008-07-09 |
| Street Address |
17225 NW TUCSON ST |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-7431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538480918 | Gerald Anthony Osacho | Nurse Practitioner | 13210 Sw Hanson Ln, Beaverton, OR 97008-9605 | 2010-06-19 |
| 1811968985 | Wendy Noreen | Nurse Practitioner | 17175 Sw Tualatin Valley Hwy, Suite B-2, Beaverton, OR 97006-4584 | 2006-01-27 |
| 1275585069 | Wendy Hawthorne | Nurse Practitioner | 4510 Sw Hall Blvd, Beaverton, OR 97005 | 2006-05-17 |
| 1124008461 | Victoria Lynn Keyton | Nurse Practitioner | 4510 Sw Hall Blvd, Beaverton, OR 97005 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315972 | Deborah Marie Jones | Nurse Practitioner | 15800 Boones Ferry Rd Ste A6, Lake Oswego, OR 97035-3426 | 2020-08-05 |
| 1184257115 | Joanna Rae Farrell | Nurse Practitioner | 1650 Ne 32nd Ave Apt 425, Portland, OR 97232-3455 | 2020-02-18 |
| 1790241065 | Autumn D Mercer Agnp-c LLC | Nurse Practitioner | 1075 Shayla Ln, Central Point, OR 97502-2995 | 2019-02-12 |
| 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 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| 1003275843 | Catherine Chiaradonna | Nurse Practitioner | 1867 Williams Hwy Ste 226, Grants Pass, OR 97527-5856 | 2016-02-22 |
| 1801266119 | Daniel Dominic Eric Roa | Nurse Practitioner | 5316 N Greeley Ave, Portland, OR 97217-4113 | 2015-09-29 |
| 1538578067 | Karen Lee Warren | Nurse Practitioner | 727 S Wahanna Rd Ste 100, Seaside, OR 97138-7735 | 2014-08-08 |
| 1245579408 | Derek Brent Kordenbrock | Nurse Practitioner | 625 Sw Ramsey Ave Ste A, Grants Pass, OR 97527-5808 | 2013-02-07 |
| Find all providers with the same taxonomy | ||||
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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.