MARY TOLLIVER GILLEY ANP-PP NPI 1447274337

NPI Information

NPI: 1447274337
Provider Name: MARY TOLLIVER GILLEY, ANP-PP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
1111 NE 99TH AVENUE
PORTLAND, OR
ZIP 97220
Phone: (503) 963-2707
Get Directions

Mary Tolliver Gilley, ANP-PP is an adult health nurse practitioner in Portland, OR. Mary Tolliver Gilley, ANP-PP NPI is 1447274337. 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:

1111 NE 99TH AVENUE
PORTLAND, OR
ZIP 97220
Phone: (503) 963-2707
Fax: (503) 963-2802

The enumeration date for this NPI number is 7/26/2006 and was last updated on 9/13/2013.

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
1	363LA2200X	Nurse Practitioner	Adult Health	200450144NP ANP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P00386380	MEDICARE PIN	OREGON
2	9651860	MEDICAID	WASHINGTON
3	143457	MEDICARE PIN	OREGON
4	Q49439	MEDICARE UPIN	OREGON
5	269862	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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