Active NPI
Mary Jo Drew, M.D.
- Blood Banking & Transfusion Medicine Physician
- Portland, OR
National Provider Identifier
1013065721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- MD27873
- Practice address
- 3131 N. Vancouver Ave.
American Red Cross PNW Regional Blood Services
Portland, OR 97227 - Phone
- (503) 528-5920
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | MD27873 | OR | Primary |
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | MD27873 | OR |
Addresses
Primary practice location
3131 N. Vancouver Ave.
American Red Cross PNW Regional Blood Services
Portland, OR 97227
Mailing address
3131 N. Vancouver Ave.
American Red Cross PNW Regional Blood Services
Portland, OR 97227
Phone (503) 528-5920
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD067302 | Other | CHAMPUS-CHAMPUS | |
| 325225310 | Medicaid | MI | |
| 700H262270 | Other | BLUE CROSS-BLUE CROSS | |
| MD067302 | Other | COMMERCIAL-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD27873 | OR | MD | Clinical Pathology/Laboratory Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1013065721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 N. VANCOUVER AVE.",
"address_2": "AMERICAN RED CROSS PNW REGIONAL BLOOD SERVICES",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "503-528-5920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 N. VANCOUVER AVE.",
"address_2": "AMERICAN RED CROSS PNW REGIONAL BLOOD SERVICES",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97227",
"telephone_number": "503-528-5920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DREW",
"first_name": "MARY JO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "OR",
"license": "MD27873",
"primary": true
},
{
"code": "207ZP0105X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology/Laboratory Medicine",
"state": "OR",
"license": "MD27873",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "MD067302",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "325225310",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262270",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "MD067302",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.