MAGEN ELISE MERTENS NPI 1073218665

NPI Information

  • NPI: 1073218665
  • Provider Name: MAGEN ELISE MERTENS
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 727 W BURNSIDE ST
    PORTLAND, OR
    ZIP 97209
  • Phone: (503) 228-4533

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NPI Details

Magen Elise Mertens is a psychiatric/mental health nurse practitioner in Portland, OR. Magen Elise Mertens NPI is 1073218665. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

727 W BURNSIDE ST
PORTLAND, OR
ZIP 97209-514
Phone: (503) 228-4533
Fax: (503) 963-7124

The NPI 1073218665 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2023 and was last updated on 8/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse201501603RNOREGONNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health10014463OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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