Provider Demographics
NPI:1821030578
Name:HINDMARSH, MAY A (MD)
Entity Type:Individual
Prefix:DR
First Name:MAY
Middle Name:A
Last Name:HINDMARSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SWEET HOME
Mailing Address - State:OR
Mailing Address - Zip Code:97386-1515
Mailing Address - Country:US
Mailing Address - Phone:541-255-1234
Mailing Address - Fax:541-255-1366
Practice Address - Street 1:1023 MAIN ST
Practice Address - Street 2:
Practice Address - City:SWEET HOME
Practice Address - State:OR
Practice Address - Zip Code:97386-1515
Practice Address - Country:US
Practice Address - Phone:541-255-1234
Practice Address - Fax:541-255-1366
Is Sole Proprietor?:No
Enumeration Date:2006-06-10
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD18681207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR069174Medicaid