Mary A Gibson (NPI# 1346301918, PAC ID# 1254497951) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1346301918 |
| PAC ID by PECOS | 1254497951 |
| Professional Enrollment ID | I20090304000746 |
| Full Name | Mary A Gibson |
| Organization Legal Name | OREGON CITY MEDICAL NW INC. |
| Address |
728 Molalla Ave A/b Oregon City OR 97045-2799 |
| Phone Number | 5036569030 |
| Gender | F |
| Graduation Year | 1988 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3577636349 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380038 | PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 | 5036569030 | OREGON CITY MEDICAL NW INC. |
| Organization Legal Name | OREGON CITY MEDICAL NW INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Dawn Pfaff | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Tyron Tracy | Physician Assistant | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Danielle L Blackwell | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Brittney Griggs | Physician Assistant | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Douglas L Eubanks | Family Medicine | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Erin Nicole Lingenfelter | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Kimberly Starr Waldrep | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Amanda Jean Kruszka | Clinical Social Worker | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Colette Dawn Kelsey-fike | Clinical Social Worker | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Deborah J Reynolds | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Street Address |
728 MOLALLA AVE A/B |
| City | OREGON CITY |
| State | OR |
| Zip | 97045-2799 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Dawn Pfaff | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Tyron Tracy | Physician Assistant | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Danielle L Blackwell | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Brittney Griggs | Physician Assistant | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Douglas L Eubanks | Family Medicine | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Erin Nicole Lingenfelter | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Kimberly Starr Waldrep | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Amanda Jean Kruszka | Clinical Social Worker | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Colette Dawn Kelsey-fike | Clinical Social Worker | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Deborah J Reynolds | Nurse Practitioner | Oregon City Medical Nw Inc. | 728 Molalla Ave, A/b, Oregon City, OR 97045-2799 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Alan Singler | Chiropractic | 1900 Mcloughlin Blvd, Suite 24a, Oregon City, OR 97045-1067 | |
| Dawn M Klein | Physical Therapy | 1506 Washington St, Oregon City, OR 97045-1450 | |
| Julia B Toub | Neurology | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Jonathan L Schwab | Anesthesiology | Oregon Anesthesiology Group PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Alexander Skog | Emergency Medicine | Emergency Medicine Specialists, LLC | 1500 Division St, Oregon City, OR 97045-1527 |
| Jason D Mauer | Interventional Pain Management | Oregon Anesthesiology Group PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Ronald J Dworkin | Infectious Disease | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Zafar Ms Khan | Hospitalist | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Matthew M Evans | Neurology | Providence Health and Services Oregon | 1500 Division St, Oregon City, OR 97045-1527 |
| Julia C Timberlake | Diagnostic Radiology | Radiology Specialists of The Northwest PC | 1500 Division St, Oregon City, OR 97045-1527 |
| Find all physicians in zip 97045 | |||
| City | OREGON CITY |
| Zip Code | 97045 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OREGON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mary A Gibson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.