Mrs. Mary A Custer, FNP
Nurse Practitioner, Family in Tigard, Oregon
1891972865- Practice location
- 18040 SW Lower Boones Ferry RD, Suite 100, Tigard, OR 97224-7258
- Phone
- 503-216-0700
- Fax
- —
- Last updated
- October 28, 2012
Mrs. Mary A Custer, FNP is a Nurse Practitioner, Family based in Tigard, OR. Mrs. Mary A Custer, FNP holds the professional credentials of FNP. The NPI number for Mrs. Mary A Custer, FNP is 1891972865 and holds license No. 200850006NP (OR). The current practice location address is 18040 SW Lower Boones Ferry RD, Suite 100, Tigard, OR 97224-7258 and the office can be reached by phone at 503-216-0700. The NPI was assigned on January 22, 2008 and the record was last updated in NPPES on October 28, 2012.
●Provider Profile Details
- NPI Number
- 1891972865
- Provider Name
- Mary Ann Custer
- Credential
- FNP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Enumeration Date
- January 22, 2008
- Last Update Date
- October 28, 2012
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 18040 SW Lower Boones Ferry RD
Suite 100
Tigard, OR 97224-7258 - City
- Tigard
- State
- Oregon
- ZIP
- 97224-7258
- Country
- US
- Phone Number
- 503-216-0700
✉Business Mailing Address
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- ZIP
- 97208-3158
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | Yes | 200850006NP | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Tigard →?Frequently Asked Questions
What is the NPI number of Mrs. Mary A Custer, FNP?
The NPI number of Mrs. Mary A Custer, FNP is 1891972865. It was assigned on January 22, 2008 and is currently active in the NPPES registry.
What is the specialty of Mrs. Mary A Custer, FNP?
Mrs. Mary A Custer, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X) and holds license No. 200850006NP (OR).
Where does Mrs. Mary A Custer, FNP practice?
The practice location is 18040 SW Lower Boones Ferry RD, Suite 100, Tigard, OR 97224-7258. The office can be reached at 503-216-0700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891972865 directly on the NPPES registry website at npiregistry.cms.hhs.gov.