Dunlap, Mary Ann

Dunlap, Mary Ann is an individual health care provider with primary practice located at 12442 Sw Scholls Ferry Rd Suite 100, Tigard OR 97223-0803. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Dunlap, Mary Ann can be contacted via phone (503) 215-9900.

Contact Information

Primary practice address
12442 Sw Scholls Ferry Rd Suite 100 Tigard OR 97223-0803
Phone: (503) 215-9900
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 94000300N3 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0094000300N3 Oregon

Profile Details

NPI number 1629002639
LBN Legal business name Dunlap, Mary Ann
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Mar 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629002639 NPPES
Oregon MEDICAID 291754
Oregon Other P00940157

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