Mary Catherine Wasson, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

200941524RN Issued in OR

Practice address

31020 SW Unger Rd
Cornelius, OR 97113-9650

Phone

(503) 628-0302

NPI assigned

Sep 15, 2009

Last updated

Sep 15, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1548593015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31020 SW UNGER RD",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971139650",
            "telephone_number": "503-628-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31020 SW UNGER RD",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971139650",
            "telephone_number": "503-628-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSON",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "200941524RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Garcia Memorial Health Center
• Virginia Garcia Memorial Health Center (Virginia Garcia Memorial Health Center Pharmacy)
• Wal-Mart Stores Inc (Vision Center 30-4221)
• Walgreen Co (Walgreens #09353)
• Walmart Inc. (Walmart Pharmacy 10-4221)
• Luke Wilson
• Cynthia Winsor-Mercurio, RD
• Jerry Yeh
• Indira M Yerman
• Jill Rudnick Yoman, P.A.

• Registered Nurse in Cornelius, OR
• Providers in Cornelius, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.