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MRS. MARY ANN CUSTER FNP
NPI 1891972865
Nurse Practitioner - Family in Tigard, OR

Active since January 22, 2008
18040 SW LOWER BOONES FERRY RD, SUITE 100, TIGARD, OR 97224(503) 216-0700 Get Directions Write a Review

NPPES record last updated: October 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mary Ann Custer Fnp NPPES

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

MRS. MARY ANN CUSTER FNP (NPI 1891972865) is an individual family provider in Tigard, Oregon, licensed in Oregon (200850006NP) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1891972865
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MARY ANN CUSTERCredential: FNP
Location Address18040 SW LOWER BOONES FERRY RD, SUITE 100Tigard, OR 97224-7258
Mailing AddressPo Box 3158Portland, OR 97208-3158
Phone(503) 216-0700
Sole ProprietorNo
Enumeration DateJanuary 22, 2008
Last NPPES UpdateOctober 28, 2012
✔ NPI 1891972865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 200850006NP
18040 SW LOWER BOONES FERRY RD, Tigard, OR 97224
Open in Google Maps ↗

Other Identifiers 7

Medicare PINR157298OR
Medicaid218626OR
Medicare PINR146642OR
Medicare PINR143492OR
Medicare PINR157299OR
OtherP00650720OR · Rr Medicare
Medicare PINR143601OR

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.

ANDREW DAVID BODMER PA-C
Physician Assistant
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224
Washington County (503) 216-0700
PROVIDENCE HEALTH & SERVICES - OREGON
Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 104
PORTLAND, OR 97224
Washington County (855) 229-6490
KENRIC BRION CRAVER PA
Physician Assistant
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224
Washington County (503) 216-0700
EMILY JUNE PUUKKA CLARK MD
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Washington County (503) 216-0700
JOHN H SCHWARTZ MD
Family Medicine
18040 SW LOWER BOONES FERRY RD, SUITE 100
TIGARD, OR 97224
Washington County (503) 216-0700
PROVIDENCE HEALTH & SERVICES OREGON
Clinic/Center
18040 SW LOWER BOONES FERRY RD, SUITE 207
TIGARD, OR 97224
Washington County (503) 215-5340
BHAVESH RAJANI MD
Family Medicine
18040 SW LOWER BOONES FERRY RD, STE 100
TIGARD, OR 97224
Washington County (503) 216-0700
MRS. LISA ROSE LUNDIN RPH
Pharmacist
18040 SW LOWER BOONES FERRY RD
TIGARD, OR 97224
Washington County (503) 216-0625

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 Custer's NPI number?

The NPI number for Mary Custer is 1891972865. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Mary Custer located?

Mary Custer practices at 18040 SW Lower Boones Ferry Rd Suite 100, Tigard, OR 97224. The listed phone number is (503) 216-0700.

What is Mary Custer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mary Custer was last updated on October 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.