Individual provider · Type 1 NPI
Mary Tolliver Gilley, ANP-PP
Adult Health Nurse Practitioner · Portland, OR
NPI number
1447274337
Active
Practice location
1111 NE 99th Avenue
Portland, OR 97220
Fax (503) 963-2802
Mailing address
847 NE 19th Ave, Suite 300
Portland, OR 97232-2684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 200450144NP ANP-PP (OR) |
Adult Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1447274337
Mary Tolliver Gilley, ANP-PP's National Provider Identifier is 1447274337, issued on Jul 26, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Sep 13, 2013.