Mary Ann Dunlap, ANP | |
12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803 | |
(503) 215-9900 | |
Not Available |
Full Name | Mary Ann Dunlap |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 12442 Sw Scholls Ferry Rd, Tigard, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629002639 | NPI | - | NPPES |
291754 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | 0094000300N3 (Oregon) | Primary |
163W00000X | Registered Nurse | 94000300N3 (Oregon) | Secondary |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
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Mary Ann Dunlap, ANP Po Box 3158, Portland, OR 97208-3158 Ph: (503) 215-6494 | Mary Ann Dunlap, ANP 12442 Sw Scholls Ferry Rd, Suite 100, Tigard, OR 97223-0803 Ph: (503) 215-9900 |
Joseph Roy Zelk, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10220 Sw Greenburg Rd., Suite 150, Tigard, OR 97223 Phone: 503-255-1200 Fax: 503-408-6856 | |
Kecia Harris, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11481 Sw Hall Blvd Ste 200, Tigard, OR 97223 Phone: 503-980-4334 | |
Mrs. Luiza Maria Brown, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7632 Sw Durham Rd Ste 130, Tigard, OR 97224 Phone: 800-936-4756 | |
Martina D Ford, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9370 Sw Greenburg Rd Ste 200, Tigard, OR 97223 Phone: 877-448-3627 | |
Dr. Gretchen Randolph, PH.D, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13635 Sw 115th Ave, Tigard, OR 97223 Phone: 503-968-1155 | |
Martha Patrice Geisheker, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12442 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 Phone: 503-216-9200 | |
Alexandria Raene Thacker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12115 Sw 70th Ave Ste 202, Tigard, OR 97223 Phone: 503-404-2338 |