IndividualActive
Mary Minette, MD
NPI 1275548786 · Pediatric Cardiology Physician · Portland, OR
Provider details
- NPI number
- 1275548786
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD19772 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
707 Sw Gaines St
Pediatric Cardiology, Cdrc-P
Portland, OR 97239-2901
Phone: (503) 494-2192
Fax: (503) 494-2824
Approximate (ZIP-level) locationGet directions
Mailing address
707 Sw Gaines St
Portland, OR 97239-2901
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2011-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.