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

Mary Marcelle Costantino, MD

Individual provider Diagnostic Radiology Physician · NPI 1407951171

Mary Marcelle Costantino, MD is an Interventional Radiology in Portland, Oregon. Graduated from University of California, Geffen School of Medicine in 2001, 25 years ago. Practices with Pnw Management Group, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
25
Trained at
University of California, Geffen School of Medicine
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6958 SW Varns St
Portland, OR 97223-0000
Phone: (503) 683-7730
Fax: (503) 914-0927
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD26429 (OR)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD26429 (OR)

Record details

NPI number1407951171
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2006
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Pnw Management Group — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portland