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DR. MARY GAIL PELLICCIOTTI M.D.
NPI 1902912835
Family Medicine in Beaverton, OR

Active since August 22, 2006
4855 SW WESTERN AVE, KAISER, BEAVERTON, OR 97005(503) 643-7565 Get Directions Write a Review

NPPES record last updated: August 20, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary Gail Pellicciotti M.d. NPPES

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

DR. MARY GAIL PELLICCIOTTI M.D. (NPI 1902912835) is an individual family medicine provider in Beaverton, Oregon, licensed in Oregon (MD14245) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1902912835
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARY GAIL PELLICCIOTTICredential: M.D.
Location Address4855 SW WESTERN AVE, KAISERBeaverton, OR 97005-3460
Mailing Address4855 Sw Western Ave, KaiserBeaverton, OR 97005-3460 · (503) 643-7565
Phone(503) 643-7565
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateAugust 20, 2007
✔ NPI 1902912835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD14245
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4855 SW WESTERN AVE, Beaverton, OR 97005
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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.

MRS. RANDEEP KAUR DA
Dental Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 626-4148
CHANNA V HANG PA
Physician Assistant
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 813-2000
MEDHA CHUNDURU MD
Family Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 813-2000
MARYLOU STRONG
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 520-4950
BRADLEY RAY PLANT DPT, CSCS
Physical Therapist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 813-2000
AMANDA ANDERSEN
Internal Medicine
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 813-2000
TINA TRUONG
Dental Hygienist
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (800) 213-2000
SANDRA MEACHAM REED M.D.
Obstetrics & Gynecology
4855 SW WESTERN AVE
BEAVERTON, OR 97005
Washington County (503) 643-7565

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 Pellicciotti's NPI number?

The NPI number for Mary Pellicciotti is 1902912835. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Mary Pellicciotti located?

Mary Pellicciotti practices at 4855 SW Western Ave Kaiser, Beaverton, OR 97005. The listed phone number is (503) 643-7565.

What is Mary Pellicciotti's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mary Pellicciotti was last updated on August 20, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.