Individual provider Active NPI

Marilyn A Dunning, FNP

  • Nurse Practitioner
  • Lake Oswego, OR
National Provider Identifier
1518609122
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10014871 Issued in OR
Practice address
4550 Kruse Way Ste 125
Lake Oswego, OR 97035-3533
Phone
(503) 864-5190
Fax
(844) 897-5321
NPI assigned
Apr 13, 2022
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 10014871 OR Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

4550 Kruse Way Ste 125
Lake Oswego, OR 97035-3533

Mailing address

4550 Kruse Way Ste 125
Lake Oswego, OR 97035-3533
Phone (503) 864-5190

Other practice location 1

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (503) 813-2000

Other practice location 2

400 N Santiam HWY
Lebanon, OR 97355
Phone (541) 451-6413

Other practice location 3

100 Mullins Dr Ste C2
Lebanon, OR 97355-2868
Phone (541) 451-6413

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marilyn_dunning@optum.com Health Information Exchange (HIE) Optum

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231027001193 OR Practitioner - Nurse Practitioner 1951757970 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare, Inc. CurrentSince Aug 4, 2024 Accepting new patients
SNF Wound Care CurrentSince Oct 1, 2024 Accepting new patients
Mid-Valley Healthcare Inc Current Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients

Locations

815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888

100 Mullins Dr
Ste C2
Lebanon, OR 97355
Phone (541) 451-6388

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

400 N Santiam Hwy
Lebanon, OR 97355
Phone (541) 451-6388

301 Ridings Ave
Molalla, OR 97038
Phone (503) 829-5591

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

Interoperability endpoints

  • Direct secure messaging: marilyn_dunning@optum.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1518609122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY STE 125",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353533",
            "telephone_number": "503-864-5190",
            "fax_number": "844-897-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 KRUSE WAY STE 125",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353533",
            "telephone_number": "503-864-5190",
            "fax_number": "844-897-5321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10180 SE Sunnyside Rd",
            "address_purpose": "LOCATION",
            "city": "Clackamas",
            "state": "OR",
            "postal_code": "970158970",
            "country_code": "US",
            "telephone_number": "503-813-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Santiam HWY",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "97355",
            "country_code": "US",
            "telephone_number": "541-451-6413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Mullins Dr Ste C2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552868",
            "country_code": "US",
            "telephone_number": "541-451-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNNING",
        "first_name": "MARILYN",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10014871",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marilyn_dunning@optum.com",
            "affiliation": "Y",
            "affiliationName": "Optum",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4550 Kruse Way Ste 125",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970353533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

Verify at the official NPI Registry.