MARY ANN DUNLAP ANP NPI 1629002639

NPI Information

  • NPI: 1629002639
  • Provider Name: MARY ANN DUNLAP, ANP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12442 SW SCHOLLS FERRY RD
    SUITE 100
    TIGARD, OR
    ZIP 97223
  • Phone: (503) 215-9900

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NPI Details

Mary Ann Dunlap, ANP is an adult health nurse practitioner in Tigard, OR with 27 years of experience. Mary Ann Dunlap, ANP NPI is 1629002639. 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:

12442 SW SCHOLLS FERRY RD
SUITE 100
TIGARD, OR
ZIP 97223-803
Phone: (503) 215-9900

The NPI 1629002639 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 7/10/2006 and was last updated on 10/1/2024.

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
1363LA2200XNurse PractitionerAdult Health0094000300N3OREGONYes
2163W00000XRegistered Nurse94000300N3OREGONNo

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
1291754MEDICAIDOREGON

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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