Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marvin Bradley Lilly

Individual provider Registered Nurse · NPI 1780236406

Marvin Bradley Lilly is a Registered Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2019.

Licensed in
OR
In the registry since
2019

Practice location Address checks out

1535 N Williams Ave
Portland, OR 97227-1885
Phone: (503) 238-2067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 201391789RN (OR)

Record details

NPI number1780236406
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2019
Last updated in NPPESJuly 12, 2019

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