MARY ELIZABETH TYLER NNP
NPI 1447214465
Nurse Practitioner - Neonatal in Portland, OR

Active since April 14, 2006
2801 N GANTENBEIN AVE, PORTLAND, OR 97227(503) 413-2119 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Neonatal
  • Accepts Insurance

About MARY TYLER

This page provides the complete NPI Profile along with additional information for Mary Tyler, a provider established in Portland, Oregon with a medical specialization in Nurse Practitioner, focusing in neonatal . The healthcare provider is registered in the NPI registry with number 1447214465 assigned on April 2006. The practitioner's primary taxonomy code is 363LN0000X with license number 077039059N9 NNP-PP (OR). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1447214465 Verify this NPI
Provider Name
MARY ELIZABETH TYLER NNP
Gender
Female
Entity Type
Individual
Location Address
2801 N GANTENBEIN AVE PORTLAND, OR 97227
Location Phone
(503) 413-2119
Mailing Address
2801 N GANTENBEIN AVE PORTLAND, OR 97227
Mailing Phone
(503) 413-2119
Is Sole Proprietor?
No
Enumeration Date
04-14-2006
Last Update Date
11-21-2012
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A nurse practitioner (NP) like Mary Tyler is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Neonatal

Taxonomy Code
363LN0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
077039059N9 NNP-PP
License State
OR

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
022938MEDICAID (05)OR 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Nurse Practitioner (Pediatrics)
2801 N GANTENBEIN AVE, STE 2225
PORTLAND, OR 97227
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
2801 N GANTENBEIN AVE, SUITE 2225
PORTLAND, OR 97227
Pediatrics (Developmental - Behavioral Pediatrics)
2801 N GANTENBEIN AVE, SUITE 2225
PORTLAND, OR 97227
Hospitalist
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Obstetrics & Gynecology
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Infectious Diseases)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Internal Medicine
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Physician Assistant (Medical)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Pediatrics (Pediatric Critical Care Medicine)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Radiology (Diagnostic Radiology)
2801 N GANTENBEIN AVE
PORTLAND, OR 97227
Hospitalist
2801 N GANTENBEIN AVE, DEPARTMENT OF PEDIATRICS, LEGACY EMANUEL HOSPITAL
PORTLAND, OR 97227
Pediatrics
2801 N GANTENBEIN AVE, DEPT OF PEDIATRICS
PORTLAND, OR 97227
Emergency Medicine
2801 N GANTENBEIN AVE
PORTLAND, OR 97227

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447214465, enumerated as an "individual" on April 14, 2006.

The provider is located at 2801 N GANTENBEIN AVE PORTLAND, OR 97227 and the phone number is (503) 413-2119.

Nurse Practitioner with taxonomy code 363LN0000X and a focus in Neonatal.

The provider might be accepting Accepts: Moda Health Plan, Inc., Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.