Active NPI
Maureen Cecilia Nash, M.D., M.S.
- Psychiatry Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD25553
- Practice address
- 703 NE Hancock St
Portland, OR 97212-3955 - Phone
- (503) 230-9875
- Fax
- (503) 331-3441
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD25553 | OR | |
| Psychiatry Physician | 2084P0800X | MD.MD.61615572 | WA | |
| Geriatric Psychiatry Physician | 2084P0805X | MD25553 | OR | |
| Psychiatry Physician | 2084P0800X | MD25553 | OR | Primary |
Addresses
Primary practice location
703 NE Hancock St
Portland, OR 97212-3955
Mailing address
211 SE Caruthers St
Portland, OR 97214-4502
Phone (971) 217-9008
Other practice location 1
12360 E Burnside St
Portland, OR 97233-1042
Phone (971) 279-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277886 | Medicaid | OR |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.MD.61615572 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native American Rehabilitation Assoc Inc | Current | Accepting new patients | |
| Native American Rehabilitation Assoc Inc | Current | Accepting new patients | |
| Native American Rehabilitation Assoc Inc | Current | Accepting new patients | |
| Matrix Health Systems P.C. | Past | Accepting new patients | |
| Northern Lights Sleep Medicine, PC | Past | Accepting new patients |
Locations
12360 E Burnside St
Portland, OR 97233
Phone (971) 279-4800
703 NE Hancock St
Portland, OR 97212
Phone (503) 230-9875
211 SE Caruthers St
Portland, OR 97214
Phone (503) 224-1044
Interoperability endpoints
- mnash427868@oc.providencedirect.org
Organizations & group practices 5
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.
-
dba Nara NW
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1396734364
-
dba Nara NW-Riverhouse
- Federally Qualified Health Center (FQHC)
- Portland, OR
- NPI 1851380828
-
dba Nara NW-Gresham
- Federally Qualified Health Center (FQHC)
- Gresham, OR
- NPI 1942747761
-
- Clinical Psychologist
- Burlington, VT
- NPI 1104872712
-
- Specialist
- Plattsburgh, NY
- NPI 1851437339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1649388521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 SE CARUTHERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144502",
"telephone_number": "971-217-9008",
"fax_number": "971-260-0355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 NE HANCOCK ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972123955",
"telephone_number": "503-230-9875",
"fax_number": "503-331-3441"
}
],
"practiceLocations": [
{
"address_1": "12360 E Burnside St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972331042",
"country_code": "US",
"telephone_number": "971-279-4800",
"fax_number": "971-279-2051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NASH",
"first_name": "MAUREEN",
"middle_name": "CECILIA",
"name_prefix": "Dr.",
"credential": "M.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD25553",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD.MD.61615572",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "OR",
"license": "MD25553",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD25553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277886",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.