Individual provider Active NPI

Maria Briley, RN

  • Registered Nurse
  • Milwaukie, OR
National Provider Identifier
1093365256
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
201607752RN Issued in OR
Practice address
4105 SE International Way Ste 501
Milwaukie, OR 97222-8855
Phone
(503) 496-3201
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 201607752RN OR Primary

Addresses

Primary practice location

4105 SE International Way Ste 501
Milwaukie, OR 97222-8855

Mailing address

14600 NW Cornell Rd
Portland, OR 97229-5442
Phone (503) 645-3581

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
201607752RNORMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks NW CurrentSince Sep 25, 2019 Accepting new patients

Locations

4105 SE International Way
Ste 501
Portland, OR 97222
Phone (503) 496-3201

14600 NW Cornell Rd
Portland, OR 97229

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568764800000",
    "number": "1093365256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 NW CORNELL RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972295442",
            "telephone_number": "503-645-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 SE INTERNATIONAL WAY STE 501",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972228855",
            "telephone_number": "503-496-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILEY",
        "first_name": "MARIA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2019-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201607752RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.