Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396836870 Individual Practitioner Female Practitioner

Dr. Mary Ellen Ulmer , MD

Pediatrics • Beaverton, OR

Professional Overview & Biography Verified Profile Summary

Dr. Mary Ulmer, MD is a registered healthcare professional specializing in Pediatrics in Beaverton, OR. Practice services are available at 15950 SW MILLIKAN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15950 Sw Millikan Way

Beaverton, OR 97006

Telephone 5036460161
Fax 5036437459
Associated Practice Facility / Clinic
🏢 Portland Clinic Facility NPI 1558379099

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Beaverton, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
34 Specialists

Practicing in Beaverton, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD21482

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
135239 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners
Dr. David Pierce , MD

Family Medicine

NPI 1053408724

Doctor of Medicine (M.D.)

Dr. Margie Nielsen , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1124557715

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Helena Pang

Internal Medicine

NPI 1225418874
Ashley Crabb , NP

Nurse Practitioner - Adult Health

NPI 1295596492

Nurse Practitioner

Dr. Gary Kim , MD

Internal Medicine

NPI 1306820667

Doctor of Medicine (M.D.)

Susan Landgren , RD

Dietitian, Registered

NPI 1417088998

Registered Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address November 25, 2020

Registered at 800 SW 13TH AVE, PORTLAND, OR 972051902 (Tel: 5032210161)

NPI Profile Active June 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 27, 2012

Registered at 15950 SW MILLIKAN WAY, BEAVERTON, OR 97006 (Tel: 5036460161)

📍
Updated Business Mailing Address June 27, 2012

Registered at 15950 SW MILLIKAN WAY, BEAVERTON, OR 97006 (Tel: 5036460161)

👤
Provider Name / Credentials Updated June 27, 2012

Recorded as MARY ULMER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2012

Pediatrics (License #MD21482 in OR)

🟢
Initial NPI Registration & Enumeration September 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396836870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2006
Last Update: November 25, 2020
Sole Proprietor: No

Mailing Address

800 Sw 13th Ave

Portland, OR 972051902

Phone: 5032210161

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.