Individual provider · Type 1 NPI
Tara Miller Bernhardt, PNP
Pediatric Nurse Practitioner · Portland, OR
NPI number
1093736928
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3604 SE Taylor St
Portland, OR 97214-4343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1093736928
Tara Miller Bernhardt, PNP's National Provider Identifier is 1093736928, issued on Jul 23, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.