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

Robert Mayer, AGPCNP

Individual provider Primary Care Nurse Practitioner · NPI 1154753457

Robert Mayer, AGPCNP is a Nurse Practitioner in Gresham, Oregon. Qualified in 2013, 13 years ago. Practices with Jordan Physician Associates Inc, a 166-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Oregon.

Years since qualifying
13
Licensed in
MA, OR
In the registry since
2013
Specialties on file
3

Practice location Address checks out

440 NW Division St
Gresham, OR 97030-5506
Phone: (503) 215-9500
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 201504149NP-PP (OR)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence RN2275111 (MA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 201504149NP-PP (OR)

Record details

NPI number1154753457
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedAugust 8, 2013
Last updated in NPPESJanuary 5, 2016
Mailing addressPo Box 3158, Portland, OR 97208-3158

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Jordan Physician Associates Inc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gresham