Active NPI
Maria G. Maldonado, F.N.P.
- Family Nurse Practitioner
- North Bend, OR
National Provider Identifier
1780627166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 096006937N1 FNP PP
- Practice address
- 1890 Waite St
Suite1
North Bend, OR 97459-1229 - Phone
- (541) 756-6232
- Fax
- (541) 756-6234
- NPI assigned
- Jun 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 096006937N1 FNP PP | OR | Primary |
Addresses
Primary practice location
1890 Waite St
Suite1
North Bend, OR 97459-1229
Mailing address
4005 Torrington Ave
Eugene, OR 97404-4077
Phone (541) 688-0710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137872 | Medicaid | OR |
Other names 1
- Ms. Mary Lee Gow
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096006937N1 FNP PP | OR | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780627166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 TORRINGTON AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974044077",
"telephone_number": "541-688-0710",
"fax_number": "541-688-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1890 WAITE ST",
"address_2": "SUITE1",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974591229",
"telephone_number": "541-756-6232",
"fax_number": "541-756-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "MARIA",
"middle_name": "G.",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "096006937N1 FNP PP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137872",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "GOW",
"middle_name": "LEE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.