MARY E GRANT ANP
NPI 1811989379
Nurse Practitioner - Adult Health in Portland, OR

Active since August 19, 2005
10140 SW PARKWAY, PORTLAND, OR 97225(503) 215-2669 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 12, 2021, Sep 28, 2020 (2 updates tracked since 2020).

About Mary E Grant Anp NPPES

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

MARY E GRANT ANP (NPI 1811989379) is an individual adult health provider in Portland, Oregon, licensed in Oregon (077037862N3) and active in the NPI registry since August 2005. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811989379
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMARY E GRANTCredential: ANP
Location Address10140 SW PARKWAYPortland, OR 97225-5008
Mailing AddressP.o. Box 3158Portland, OR 97208-3158 · (503) 215-6494 · Fax (503) 215-6644
Sole ProprietorNo
Enumeration DateAugust 19, 2005
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
NPI 1811989379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in OR · 077037862N3
10140 SW PARKWAY, Portland, OR 97225

Secondary Practice Locations 2

Location 16350 NE Halsey StPortland, OR 97213-4720 · Phone (503) 215-2669
Location 26410 NE Halsey Street, Suite 300Portland, OR 97213-4742 · Phone (503) 215-2669 · Fax (503) 215-8465

Other Identifiers 1

Medicaid128111OR

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
10140 SW PARKWAY
PORTLAND, OR 97225

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 Grant's NPI number?

The NPI number for Mary Grant is 1811989379. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Mary Grant located?

Mary Grant practices at 10140 SW Parkway, Portland, OR 97225. The listed phone number is (503) 215-2669.

What is Mary Grant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mary Grant was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.