MS. MARY KATHRYN THOMPSON PMHNP
NPI 1104891779
Nurse Practitioner in Portland, OR

Active since February 17, 2006
1130 NW 22ND AVE, SUITE 345, PORTLAND, OR 97210(503) 413-7513(503) 413-7503 Get Directions Write a Review

NPPES record last updated: December 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Kathryn Thompson Pmhnp NPPES

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

MS. MARY KATHRYN THOMPSON PMHNP (NPI 1104891779) is an individual nurse practitioner in Portland, Oregon, licensed in Oregon (200550127NP) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1104891779
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARY KATHRYN THOMPSONCredential: PMHNP
Location Address1130 NW 22ND AVE, SUITE 345Portland, OR 97210-2900
Mailing AddressPo Box 3808Portland, OR 97208-3808 · (503) 413-5089 · Fax (503) 413-1860
Fax(503) 413-7503
Sole ProprietorNo
Enumeration DateFebruary 17, 2006
Last NPPES UpdateDecember 12, 2008
NPI 1104891779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OR · 200550127NP
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 000030387N1 (OR)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 200550127NP (OR)
1130 NW 22ND AVE, Portland, OR 97210

Other Names 1

Former Name (1)Ms. Mary Kathryn Lipper Np

Other Identifiers 3

Medicaid027956OR
Medicare UPINP36921OR
Medicare PIN139451OR

Other Providers at the Same Location NPPES 20

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

Pediatrics
1130 NW 22ND AVE, STE 320
PORTLAND, OR 97210
Pediatrics
1130 NW 22ND AVE, SUITE 320
PORTLAND, OR 97210
Nurse Practitioner (Women's Health)
1130 NW 22ND AVE, SUITE 520
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Physical Therapist
1130 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 97210
Surgery
1130 NW 22ND AVE, SUITE300
PORTLAND, OR 97210

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 Mary Thompson's NPI number?

The NPI number for Mary Thompson is 1104891779. It was assigned to this individual provider in the NPPES registry on February 17, 2006. The provider is also known as Ms. Mary Kathryn Lipper Np.

Where is Mary Thompson located?

Mary Thompson practices at 1130 NW 22nd Ave Suite 345, Portland, OR 97210. The listed phone number is (503) 413-7513.

What is Mary Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Thompson was last updated on December 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.