Grant, Mary E
Grant, Mary E is an individual health care provider with primary practice located at 10140 Sw Parkway , Portland OR 97225-5008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Grant, Mary E can be contacted via phone (503) 215-2669.Contact Information
Primary practice address
10140 Sw Parkway
Portland OR 97225-5008
Phone: (503) 215-2669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 077037862N3 | Oregon |
Profile Details
| NPI number | 1811989379 |
|---|---|
| LBN Legal business name | Grant, Mary E |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2005 |
| Last updated | Feb 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811989379 | NPPES |
| Oregon | MEDICAID | 128111 |
Popular Providers
-
Renner, Laura E
300 N Graham St , Portland OR 97227-1683 -
Murphy, Patricia A
1254 Sw Cardinell Dr , Portland OR 97201-6761 -
Lezak, Joanna L
1130 Nw 22Nd Ave Suite 110, Portland OR 97210-2900 -
Dorst, Deborah Sue
1111 Ne 99Th Ave Suite 201, Portland OR 97220-9442 -
Cato, Susan Wade
5919 Se Belmont St , Portland OR 97215-1925 -
Crabtree, Mary Katherine
4610 Se Belmont St Suite 60, Portland OR 97215-1752 -
Coleman, Raylene Dianne
1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057 -
Youngworth, Sandra J
3303 Sw Bond Ave Ste 7 , Portland OR 97239-4501