MARYCONNOR TACY THOMPSON WHNP
NPI 1083321285
Nurse Practitioner - Women's Health in Salem, OR

Active since October 28, 2022
3825 WOLVERINE ST NE, SALEM, OR 97305(888) 875-7820 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maryconnor Tacy Thompson Whnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYCONNOR TACY THOMPSON WHNP (NPI 1083321285) is an individual women's health provider in Salem, Oregon, licensed in Oregon (10025826) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1083321285
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMARYCONNOR TACY THOMPSONCredential: WHNP
Location Address3825 WOLVERINE ST NESalem, OR 97305-1201
Mailing Address3825 Wolverine St NeSalem, OR 97305-1201 · (888) 875-7820
Sole ProprietorYes
Enumeration DateOctober 28, 2022
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
NPI 1083321285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in OR · 10025826
Also ListedRegistered NurseTaxonomy 163W00000X · License RN287283 (GA)
3825 WOLVERINE ST NE, Salem, OR 97305

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
3825 WOLVERINE ST NE
SALEM, OR 97305
Advanced Practice Midwife
3825 WOLVERINE ST NE
SALEM, OR 97305
Advanced Practice Midwife
3825 WOLVERINE ST NE
SALEM, OR 97305
Nurse Practitioner (Family)
3825 WOLVERINE ST NE
SALEM, OR 97305
Nurse Practitioner (Women's Health)
3825 WOLVERINE ST NE
SALEM, OR 97305
Nurse Practitioner (Family)
3825 WOLVERINE ST NE
SALEM, OR 97305
Advanced Practice Midwife
3825 WOLVERINE ST NE
SALEM, OR 97305
Clinic/Center (Ambulatory Family Planning Facility)
3825 WOLVERINE ST NE
SALEM, OR 97305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maryconnor Thompson's NPI number?

The NPI number for Maryconnor Thompson is 1083321285. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Maryconnor Thompson located?

Maryconnor Thompson practices at 3825 Wolverine St NE, Salem, OR 97305. The listed phone number is (888) 875-7820.

What is Maryconnor Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Maryconnor Thompson was last updated on April 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.