DR. MARY ANNA GORDON (NPI# 1780030650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780030650 |
| Entity Type | Individual |
| Full Name | DR. MARY ANNA GORDON |
| Credential | DNP, RN |
| Practice Address |
1120 Sw 3rd Ave 4th Floor Medical Portland OR 97204-2828 |
| Mailing Address |
511 S Center St Oregon City OR 97045-2938 |
| Practice Telephone | 5039885897 |
| Practice Fax Number | 5039883975 |
| Mailing Telephone | 5032069370 |
| Mailing Fax Number | 5039883975 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 200740442RN | OR | Nursing Service Providers |
| Street Address |
1120 SW 3RD AVE 4TH FLOOR MEDICAL |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-2828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174590202 | Sandra J Mcallister | Nurse Practitioner | 1120 Sw 3rd Ave, 4th Floor, Portland, OR 97204-2801 | 2006-03-07 |
| 1407418999 | Multnomah County | Clinic/Center | 1120 Sw 3rd Ave, Detention Center, Portland, OR 97204-2828 | 2019-07-03 |
| 1497146286 | Angela Lee | Nurse Practitioner | 1120 Sw 3rd Ave, Portland, OR 97204-2828 | 2015-02-15 |
| 1750655817 | Clay Fedak | Counselor | 1120 Sw 3rd Ave, Portland, OR 97204-2828 | 2012-03-06 |
| 1912231606 | Melanie Jane Parker | Nurse Practitioner | 1120 Sw 3rd Ave, Portland, OR 97204-2801 | 2009-09-28 |
| 1073757316 | Multnomah County | Clinic/Center | 1120 Sw 3rd Ave, Dentention Center, Portland, OR 97204-2801 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332567 | Kara Lynn Liechty | Registered Nurse | 11003 Sw 30th Pl, Portland, OR 97219-2588 | 2020-10-08 |
| 1194331942 | Grace Duncan | Registered Nurse | 1200 Nw Marshall St Ste 1102, Portland, OR 97209-3177 | 2020-09-17 |
| 1790390151 | Megan M Goodman | Registered Nurse | 4262 N Vancouver Ave Apt 221, Portland, OR 97217-2995 | 2020-09-12 |
| 1548872963 | Courtney Marie Iaquinto Smith | Registered Nurse | 22 Se 11th Ave Apt 103, Portland, OR 97214-1392 | 2020-08-18 |
| 1508484759 | Jennifer Campbell | Registered Nurse | 3710 Sw Us Veterans Hospital Rd Bldg 100, Portland, OR 97239-2964 | 2020-07-13 |
| 1104441153 | Keri Swanson | Registered Nurse | 617 Nw 112th Ave, Portland, OR 97229-6118 | 2020-06-15 |
| 1710508635 | Jana Kaye Witherspoon | Registered Nurse | 306 Broadway Blvd, Portland, TX 78374-1301 | 2020-05-01 |
| 1639798655 | Natalie Shaki Assayas | Registered Nurse | 3705 N Overlook Blvd Apt 310, Portland, OR 97227-2036 | 2020-04-09 |
| 1275169229 | Alisa Y Newhall | Registered Nurse | 8303 N Dwight Ave, Portland, OR 97203-3514 | 2020-03-20 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| Find all providers in PORTLAND | ||||
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| 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.