Provider Demographics
NPI:1164589818
Name:MAYS, MAUREEN E (MD, MS, FACC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:E
Last Name:MAYS
Suffix:
Gender:F
Credentials:MD, MS, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7535 NW SKYLINE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-1204
Mailing Address - Country:US
Mailing Address - Phone:503-735-0555
Mailing Address - Fax:877-992-4890
Practice Address - Street 1:7535 NW SKYLINE BLVD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229-1204
Practice Address - Country:US
Practice Address - Phone:503-735-0555
Practice Address - Fax:877-992-4890
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD25708207RC0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR213623Medicaid
BM6442658OtherDEA
BM6442658OtherDEA
271603594OtherEIN: PORTLAND PREVENTIVE CARDIOLOGY, LLC
OR213623Medicaid