MARILEE DEA NP NPI 1609067677

NPI Information

  • NPI: 1609067677
  • Provider Name: MARILEE DEA, NP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 426 SW STARK ST
    8TH FLOOR
    PORTLAND, OR
    ZIP 97204
  • Phone: (503) 988-3056

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NPI Details

Marilee Dea, NP is a pediatrics nurse practitioner in Portland, OR. Marilee Dea, NP NPI is 1609067677. 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:

426 SW STARK ST
8TH FLOOR
PORTLAND, OR
ZIP 97204-347
Phone: (503) 988-3056
Fax: (503) 988-5182

The enumeration date for this NPI number is 8/6/2007 and was last updated on 1/6/2009.

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
1363LP0200XNurse PractitionerPediatrics000030062N2OREGONYes

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 Other Provider Identifier Issuer
1105574MEDICARE PINOREGON
2285171MEDICAIDOREGON
3S92297MEDICARE UPINOREGON

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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