IndividualActive
Mary Grant, ANP
NPI 1811989379 · Adult Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1811989379
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- 077037862N3 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10140 Sw Parkway
Portland, OR 97225-5008
Phone: (503) 215-2669
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 3158
Portland, OR 97208-3158
Additional practice locations (2)
- 6350 Ne Halsey StPortland, OR 97213-4720Phone: (503) 215-2669
- 6410 Ne Halsey StreetSuite 300Portland, OR 97213-4742Phone: (503) 215-2669Fax: (503) 215-8465
Registry dates
- Enumerated
- 2005-08-19
- Last updated
- 2021-02-12
- Certified
- 2021-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.