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

Mary Geisler, RM

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1295587079

Mary Geisler, RM is a Nurse Practitioner in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with Larsen Sanchez Psychology LLC, a 16-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

905 SE 14th Ave
Portland, OR 97214-2569
Phone: (503) 622-8964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10028482 (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 201390509RN (OR)

Record details

NPI number1295587079
Entity typeIndividual (Type 1)
GenderFemale
Credentials RM
Sole proprietorNo
NPI enumeratedApril 3, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address905 Se 14th Ave, Portland, OR 97214-2569

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Larsen Sanchez Psychology Llc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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