Mary Beth Enns, MS OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1041837 Issued in OR

Practice address

7927 SE Orient Drive
Gresham, OR 97080-8847

Phone

(503) 663-0332

Fax

(503) 663-1114

NPI assigned

Aug 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187308800000",
    "number": "1265624738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7927 SE ORIENT DRIVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808847",
            "telephone_number": "503-663-0332",
            "fax_number": "503-663-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7927 SE ORIENT DRIVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970808847",
            "telephone_number": "503-663-0332",
            "fax_number": "503-663-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENNS",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "MS OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "1041837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jonathan Emerson, LMT
• Gregory David Emmerich, M.D.
• Emo Residential Care Home,LLC
• Endodontic Specialty Group, P.C.
• Rosie Endow, OTR/L
• Paul Song Eo, DPT
• Heather Lynne Eoff
• Epidavros Center for Wellbeing
• Kristen Erich
• Natalie Louise Erickson

• Pediatric Occupational Therapist in Gresham, OR
• Providers in Gresham, OR by specialty
• Pediatric Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; 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.