Hibbard, Maryellen

Hibbard, Maryellen is an individual health care provider with primary practice located at 831 Nw Council Dr Suite 300, Gresham OR 97030-3721. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hibbard, Maryellen can be contacted via phone (503) 408-4078.

Contact Information

Primary practice address
831 Nw Council Dr Suite 300 Gresham OR 97030-3721
Fax: (503) 408-4077
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 200150111NP Oregon

Profile Details

NPI number 1497954994
LBN Legal business name Hibbard, Maryellen
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2007
Last updated May 5th, 2008 - about 16 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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