Individual provider · Type 1 NPI
Mary Kathryn Thompson, PMHNP
Nurse Practitioner · Portland, OR
Practice location
1130 NW 22nd Ave, Suite 345
Portland, OR 97210-2900
Fax (503) 413-7503
Mailing address
PO Box 3808
Portland, OR 97208-3808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 000030387N1 (OR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 200550127NP (OR) |
| Nurse Practitioner Primary | 363L00000X | 200550127NP (OR) |
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 wit…
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About NPI 1104891779
Mary Kathryn Thompson, PMHNP's National Provider Identifier is 1104891779, issued on Feb 17, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Dec 12, 2008.