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NPI Code Detail

MEDICARE: MARILYN A DUNNING FNP

MEDICARE:   MARILYN A DUNNING  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2363L00000XNurse Practitioner10014871OR

General Provider Information

NPI Number : 1518609122
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARILYN A DUNNING FNP
Provider Business Mailing Address
First Line : 4550 KRUSE WAY STE 125
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3533
Country : US
Telephone Number : 503-864-5190
Fax Number : 844-897-5321
Provider Business Practice Location Address
First Line : 4550 KRUSE WAY STE 125
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3533
Country : US
Telephone Number : 503-864-5190
Fax Number : 844-897-5321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2022
Last Update Date : 05/04/2026

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Directions to “ MARILYN A DUNNING FNP” Practice Location

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