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

Mary Kuebrich, AGPCNP

Individual provider Primary Care Nurse Practitioner · NPI 1477902617

Mary Kuebrich, AGPCNP is a Nurse Practitioner in Tigard, Oregon. Qualified in 2016, 10 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
Specialties on file
2

Practice location Address checks out

12442 SW Scholls Ferry Rd
Tigard, OR 97223-3396
Phone: (503) 216-9200
Show map & directions

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

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 201604516NP-PP (OR)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 201604516NP-PP (OR)

Record details

NPI number1477902617
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tigard