MARILYN LUZOD MENDOZA (NPI# 1326009622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326009622 |
| Entity Type | Individual |
| Full Name | MARILYN LUZOD MENDOZA |
| Credential | NP |
| Practice Address |
10201 Se Main St Suite 29 Portland OR 97216-2937 |
| Practice Telephone | 5032516363 |
| Practice Fax Number | 5032516239 |
| Mailing Telephone | 5032516363 |
| Mailing Fax Number | 5032516239 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609817519 | Marilyn Allen Mendoza | Psychologist | 3221 Behrman Pl, Suite 101, New Orleans, LA 70114-8200 | 2006-06-10 |
| 1427492156 | Marilyn Mendoza | Pediatrics | 51 Hitchcock Way, Santa Barbara, CA 93105 | 2013-04-24 |
| 1811911167 | Marilyn Mendoza | Social Worker | 88 Long Ct Ste C, Thousand Oaks, CA 91360-6065 | 2006-07-27 |
| Street Address |
10201 SE MAIN ST SUITE 29 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97216-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598757452 | Samuel Albert Camacho | Internal Medicine | 10201 Se Main St, Suite 10, Portland, OR 97216-2937 | 2005-08-17 |
| 1316339229 | Jenna Clowers | Physician Assistant | 10201 Se Main St, Suite 9, Portland, OR 97216-2937 | 2015-03-02 |
| 1861700130 | Northwest Renal Clinic, Inc. | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2010-09-20 |
| 1881919348 | Macy Ann Martinson | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2010-03-28 |
| 1215261920 | Ninfa Johnson Neuser | Counselor | 10201 Se Main St, Ste 10, Portland, OR 97216-2937 | 2009-09-28 |
| 1881851368 | Aumyot Prongdong | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2008-05-21 |
| 1205958576 | Vanessa L Peterson | Internal Medicine | 10201 Se Main St, Portland Lung Clinic, Portland, OR 97216-2937 | 2007-04-05 |
| 1477617512 | Kevin Khaw | Internal Medicine | 10201 Se Main St, Suite 25, Portland, OR 97216-2937 | 2006-12-21 |
| 1912079500 | Leonard R Bertheau | Family Medicine | 10201 Se Main St, Suite 10, Portland, OR 97216-2937 | 2006-11-15 |
| 1043318405 | Jeffrey Aaron Komisarof | Internal Medicine | 10201 Se Main St, Suite 27, Portland, OR 97216-2937 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316468341 | Accident Care Chiropractic and Massage of Salem | Clinic/Center | 2168 Lancaster Dr. Ne, Portland, OR 97216 | 2017-06-29 |
| 1528508520 | Damone Brown | Peer Specialist | 10209 Se Washington St, Suite D, Portland, OR 97216 | 2017-02-24 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1881136836 | Krista Marie Darnell | Occupational Therapy Assistant | 1475, Se 100th Avenue, Portland, OR 97216 | 2016-11-08 |
| 1821456559 | Sean Kelly | Counselor | 10564 Se Washington Street, Portland, OR 97216 | 2016-02-09 |
| 1174908321 | Phil Bergland | Counselor | 11220 Se Stark St, Suite 6, Portland, OR 97216 | 2015-07-29 |
| 1134507346 | Beth Lopez | Massage Therapist | 5814 Se Stark Street, Portland, OR 97216 | 2015-05-08 |
| 1982081477 | Amelia C Hunt | Counselor | 10564 Se Washinton Street, Portland, OR 97216 | 2015-05-04 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1265823298 | Laura Catherine Anderson | Occupational Therapist | 1475 Se 100th Avenue, Portland, OR 97216 | 2015-02-12 |
| Find all providers in zip 97216 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1427537844 | Mardin Sabah Sabir | Nurse Practitioner | 5050 Ne Hoyt St Ste 259, Portland, OR 97213-2984 | 2018-08-07 |
| 1174039325 | Gina Nicole Dasilva | Nurse Practitioner | 50 County Way, Portland, ME 04102-2755 | 2017-12-26 |
| 1609396746 | Maggie Michele Sexton | Nurse Practitioner | 2311 Nw Northrup St Ste 100, Portland, OR 97210-2912 | 2017-06-20 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1134585268 | Kathleen Klunk | Nurse Practitioner | 1400 Ne Alberta St, Portland, OR 97211-5044 | 2016-01-05 |
| 1427447143 | At Home Primary Care LLC. | Nurse Practitioner | 6400 Se Lake Rd # 420, Portland, OR 97222-2129 | 2015-01-19 |
| 1053753921 | Frederick Donald Watters | Nurse Practitioner | 66 Sherman St Apt 3, Portland, ME 04101 | 2013-07-22 |
| 1881033439 | Nicole M Baxter | Nurse Practitioner | 2187 Sw Main St Ste 101, Portland, OR 97205-1123 | 2013-06-17 |
| 1780937607 | Erika Kristine De La Garza | Nurse Practitioner | 1702 Hwy. 181 North, Portland, TX 78374 | 2012-10-16 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on MARILYN LUZOD MENDOZA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.