MS. MARY THOMPSON, PMHNP

Nurse Practitioner

Active Individual
NPI: 1104891779

Practice Address

1130 NW 22ND AVE
SUITE 345
Portland, OR 97210

Phone: (503) 413-7513

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X No 000030387N1 (OR)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X No 200550127NP (OR)
Nurse Practitioner 363L00000X Yes 200550127NP (OR)

Frequently Asked Questions

NPI 1104891779 is the National Provider Identifier for MS. MARY THOMPSON, PMHNP, a Nurse Practitioner provider located in Portland, OR. This NPI was enumerated on February 17, 2006.
MS. MARY THOMPSON, PMHNP practices at 1130 NW 22ND AVE, SUITE 345, Portland, OR 97210.

Quick Facts

NPI
1104891779
Type
Individual
Enumerated
Feb 17, 2006
Last Updated
Dec 12, 2008

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