Individual
MARY ANN DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
12442 SW SCHOLLS FERRY RD, SUITE 100, TIGARD, OR 97223-0803
(503) 215-9900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
94000300N3
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
0094000300N3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291754
—
OR
Enumeration date
07/10/2006
Last updated
10/01/2024
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