Active NPI
Mary Maher Olson, DO
- Pediatrics Physician
- Tigard, OR
National Provider Identifier
1891024907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DO150422
- Practice address
- 12442 SW Scholls Ferry Rd
Suite 205
Tigard, OR 97223-3396 - Phone
- (503) 579-3214
- Fax
- (503) 579-2027
- NPI assigned
- Dec 18, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO150422 | OR | Primary |
Addresses
Primary practice location
12442 SW Scholls Ferry Rd
Suite 205
Tigard, OR 97223-3396
Mailing address
11790 SW Barnes Rd., BLDG. a., Ste. 140
Portland, OR 97225
Phone (503) 579-3214
Other names 1
- Mary Maher Nawar
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO150422 | OR | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1891024907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11790 SW BARNES RD., BLDG. A., STE. 140",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97225",
"telephone_number": "503-579-3214",
"fax_number": "503-579-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12442 SW SCHOLLS FERRY RD",
"address_2": "SUITE 205",
"city": "TIGARD",
"state": "OR",
"postal_code": "972233396",
"telephone_number": "503-579-3214",
"fax_number": "503-579-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLSON",
"first_name": "MARY",
"middle_name": "MAHER",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-18",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "DO150422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "NAWAR",
"middle_name": "MAHER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tigard, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.