Wathen, Mary C.

Wathen, Mary C. is an individual health care provider with primary practice located at 9427 Sw Barnes Rd Suite 395, Portland OR 97225-6652. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Wathen, Mary C. can be contacted via phone (503) 216-2602.

Contact Information

Primary practice address
9427 Sw Barnes Rd Suite 395 Portland OR 97225-6652
Phone: (503) 216-2602
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30004769 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X AP30004769 Washington
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201150146NP Oregon

Profile Details

NPI number 1336103944
LBN Legal business name Wathen, Mary C.
Credentials ARNP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Oct 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336103944 NPPES
Washington Other 263673 LABOR & INDUSTRIES
Washington MEDICAID 500682873 LABOR & INDUSTRIES
Washington MEDICAID 9630179 LABOR & INDUSTRIES

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