MARY KATHRYN BROWN (MD) – Pediatrics Physician, NPI 1073559704

MARY KATHRYN BROWN (MD) is a healthcare provider. based in Clackamas, Oregon. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. MD26080 (OR). The NPI Number for MARY KATHRYN BROWN (MD) is 1073559704

Main info

Female
Name
MARY KATHRYN BROWN (MD)
NPI
1073559704
Phone
(503) 659-1694
Address
9290 SE SUNNYBROOK BLVD
Enumeration Date
21 June 2006
Last Update Date
20 December 2021

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MARY KATHRYN BROWN (MD)

  • 9290, Southeast Sunnybrook Boulevard, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    SUITE 200

    CLACKAMAS, OR 970156899

    Phone: (503) 659-1694

    Fax: (503) 659-8984

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081125000125IPediatric MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97015)

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Reviews

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Frequently asked questions

What unique ID ties claims to MARY KATHRYN BROWN (MD)?
NPI 1073559704 is assigned to MARY KATHRYN BROWN (MD) under the national enumeration system.
Is MARY KATHRYN BROWN (MD) active in the national directory?
MARY KATHRYN BROWN (MD)'s public NPI profile is in an active state.
What field does MARY KATHRYN BROWN (MD) work in?
You can think of MARY KATHRYN BROWN (MD) as practicing within Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What location shows for MARY KATHRYN BROWN (MD)?
We surface Clackamas, Oregon for MARY KATHRYN BROWN (MD) based on available NPPES addresses.
Is MARY KATHRYN BROWN (MD) a real provider?
This page reflects official NPPES data for NPI 1073559704. Always confirm identity and privileges with the practice and licensing boards.

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