Mark E Puhlman, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

201150165NP Issued in OR

Practice address

9205 SW Barnes Rd
2ND Floor, West Pavillion
Portland, OR 97225-6629

Phone

(503) 216-2188

Fax

(503) 216-0820

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpuhlman112798@oc.providencedirect.org

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.

• NW Cardiothoracic & Transplant Surgeons P.S.

  dba Northwest Cardiothoracic & Transplant Surgeons, PS

  • Transplant Surgery Physician
  • Spokane, WA
  • NPI 1336194703
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1174561468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3158",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083158",
            "telephone_number": "503-215-6494",
            "fax_number": "503-215-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SW BARNES RD",
            "address_2": "2ND FLOOR, WEST PAVILLION",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256629",
            "telephone_number": "503-216-2188",
            "fax_number": "503-216-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUHLMAN",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "WA",
            "license": "AP30006102",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201150165NP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30006102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE REGISTERED NURSE",
            "identifier": "RN00081896",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ARNP LICENSE",
            "identifier": "AP30006102",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Puckett, MFT
• Gopal Pudasaini, MEDICAL STUDENT
• Ritika Pudota, DO
• Katherine H Pugh, N.D.
• Tia Pugh
• Kasey Lee Pujol
• Sarah H Puklin, MPH
• Antonio Pulido
• Balaram Puligandla, MD
• Geraldine K Pulito, MD

• Adult Health Nurse Practitioner in Portland, OR
• Providers in Portland, OR by specialty
• Adult Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.