DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MS. MARY LOUISE BLANKENSHIP RN, FNP, PMHNP-BC

MEDICARE: MS. MARY LOUISE BLANKENSHIP RN, FNP, PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner2023150476NM
2363LP2300XPrimary Care Nurse Practitioner0375722NM
3363LP0808XPsychiatric/Mental Health Nurse Practitioner10006006OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356358477
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY LOUISE BLANKENSHIP RN, FNP, PMHNP-BC
Provider Business Mailing Address
First Line : 1907 NW 6TH ST
Second Line :
City : HERMISTON
State : OR
Zip : 97838-1148
Country : US
Telephone Number : 972-825-2575
Fax Number :
Provider Business Practice Location Address
First Line : 11740 SW 68TH PKWY STE 200
Second Line :
City : TIGARD
State : OR
Zip : 97223-9058
Country : US
Telephone Number : 971-352-6971
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2006
Last Update Date : 12/03/2025

Similar Medicare Providers

1285790055 — ERIN SEIDMAN ALLAN MFT ASSOCIATE
Practice Location Address:
11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058
Practice Phone: 971-258-0473
Practice Fax:
1386371664 — STACIE GIESE LPC
Practice Location Address:
11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058
Practice Phone: 971-330-9336
Practice Fax:
1811868516 — COLETTE KLOPP JAMES
Practice Location Address:
11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058
Practice Phone: 971-352-6971
Practice Fax:
1083015713 — MS. DOMINIQUE MICHELLE BATTLE M.S., NCC, CFT
Practice Location Address:
11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058
Practice Phone: 541-252-7595
Practice Fax: 321-348-5786
1891817680 — MS. DENA RUBY WELLINGTON MSW, LCSW
Practice Location Address:
11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058
Practice Phone: 503-205-4357
Practice Fax: 503-230-1371
1780852566 — DR. CHINWE UKACHI MADU PHARMD, CSWA
Practice Location Address:
11740 SW 68TH PKWY STE 200
TIGARD, OR
97223-9058
Practice Phone: 971-352-6971
Practice Fax: 971-352-6984

Directions to “ MS. MARY LOUISE BLANKENSHIP RN, FNP, PMHNP-BC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.