Gallagher, Mary Lucarelli

Gallagher, Mary Lucarelli is an individual health care provider with primary practice located at 7431 Ne Evergreen Pkwy Ste 100 , Hillsboro OR 97124-5831. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Gallagher, Mary Lucarelli can be contacted via phone (503) 840-3400.

Contact Information

Primary practice address
7431 Ne Evergreen Pkwy Ste 100 Hillsboro OR 97124-5831
Phone: (503) 840-3400
Fax: (503) 840-3409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Oregon
Nursing Service Providers / Registered Nurse 163W00000X 201607487RN Oregon

Profile Details

NPI number 1023535218
LBN Legal business name Gallagher, Mary Lucarelli
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2017
Last updated Feb 18th, 2019 - about 6 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 1023535218 NPPES
Oregon MEDICAID 500755020

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