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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARY WHITE STORM MD
NPI 1265920516
Psychiatry & Neurology - Neurology in Tualatin, OR

Active since April 23, 2018PECOS Enrolled
19300 SW 65TH AVE, TUALATIN, OR 97062(503) 413-6166 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 27, 2026, Dec 23, 2025, Apr 23, 2018 (3 updates tracked since 2018).

About Dr. Mary White Storm Md NPPES

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

DR. MARY WHITE STORM MD (NPI 1265920516) is an individual neurology provider in Tualatin, Oregon, licensed in Oregon (MD194613) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with York Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1265920516
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MARY WHITE STORMCredential: MD
Location Address19300 SW 65TH AVETualatin, OR 97062-7706
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900 · Fax (503) 413-3710
Phone(503) 413-6166
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 23, 2018
Last NPPES UpdateAugust 27, 20263 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1265920516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in OR · MD194613✔ Licensed in LA · 351860✔ Licensed in NC · 2026-03021✔ Licensed in WA · MD61401511✔ Licensed in GA · 111364✔ Licensed in TN · 75892
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedHospitalistTaxonomy 208M00000X · License 75892 (TN)
19300 SW 65TH AVE, Tualatin, OR 97062
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1410 N State of Franklin Rd Ste 135Johnson City, TN 37604-6972 · Phone (423) 431-2477
Location 215790 Paul Vega Md DrHammond, LA 70403-1436 · Phone (985) 345-2700 · Fax (985) 230-6652
Location 3111 Hospital DrTarboro, NC 27886-2011 · Phone (252) 641-7700
Location 4915 6th AveTacoma, WA 98405-4682 · Phone (253) 555-5555
Location 5130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000

Other Identifiers 1

Other351860LA · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary White Storm Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355692880
PECOS Enrollment IDI20230703002864, I20251219002115, I20260102001075
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

York Hospital

Acute Care Hospitals · York, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200020
Location15 Hospital DriveYork, ME 03909 · York County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500003
Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOSHUA L FLOYD PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
LEGACY MERIDIAN PARK HOSPITAL
Hospitalist
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
DEAN KYLE PETERSON MD
Internal Medicine
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-8407
RACHEL MARTINEZ IBCLC, RLC
Lactation Consultant, Non-RN
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-7509
PAUL R ASH MD, PH. D
Psychiatry & Neurology (Neurology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 413-8407
NICOLE ROBERTS PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-2452
DR. MATTHEW MICHAEL TREINEN DO
Radiology (Diagnostic Radiology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212
DR. MARCUS PAUL CARR M.D.
Radiology (Diagnostic Radiology)
19300 SW 65TH AVE
TUALATIN, OR 97062
Washington County (503) 692-1212

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 Storm's NPI number?

The NPI number for Mary Storm is 1265920516. It was assigned to this individual provider in the NPPES registry on April 23, 2018.

Where is Mary Storm located?

Mary Storm practices at 19300 SW 65th Ave, Tualatin, OR 97062. The listed phone number is (503) 413-6166.

What is Mary Storm's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mary Storm enrolled in Medicare?

Yes. Mary Storm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Storm accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mary Storm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Storm affiliated with any hospitals?

According to CMS data, Mary Storm is affiliated with York Hospital, Wellmont Holston Valley Medical Center, Johnson City Medical Center, Skagit Valley Hospital and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Mary Storm was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.