Mary Kathryn Thompson in Portland - Nurse Practitioner
Mary Kathryn Thompson - NPI 1104891779
Mary Kathryn Thompson is a Nurse Practitioner in Portland, Oregon. Mary Kathryn Thompson practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Mary Kathryn Thompson is 1104891779. The last update date is 2008-12-12.
Mary Kathryn Thompson's current location address is 1130 Nw 22nd Ave, Portland, Oregon. You can contact this provider via phone number 5034137513 and fax number 5034137503. The mailing address for Mary Kathryn Thompson is 1130 Nw 22nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Kathryn Thompson |
|---|---|
| Address | 1130 Nw 22nd Ave, Portland, Oregon |
| Phone Number | 5034137513 |
| Fax Number | 5034137503 |
| Sole Proprietor | N |
| Credentials | PMHNP |
NPI Number Detail
| NPI Number | 1104891779 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2008-12-12 |
Provider Mailing Address Detail
| Address | 1130 Nw 22nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972102900 |
| Phone Number | 5034137513 |
| Fax Number | 5034137503 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 200550127NP |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 27956 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mary Kathryn Thompson by the Centers for Medicare & Medicaid Services (CMS)?
The Mary Kathryn Thompson has been assigned the NPI (National Provider Identifier) 1104891779. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mary Kathryn Thompson's facilities are situated?
The facilities of Mary Kathryn Thompson are physically located at the following address: 1130 Nw 22Nd Ave, Portland, OR, 972102900.
What is the Mary Kathryn Thompson's area of specialization and corresponding taxonomy classification?
The Mary Kathryn Thompson's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104891779 to Mary Kathryn Thompson?
The Centers for Medicare & Medicaid Services originally issued the 1104891779 to Mary Kathryn Thompson on 2006-02-17.
When was the information pertaining to Mary Kathryn Thompson most recently updated or revised?
The details related to Mary Kathryn Thompson, including its address, specialty, and other relevant information, were last updated or revised on 2008-12-12.