Individual provider · Type 1 NPI

Marcia Bertalot, ANP

Adult Health Nurse Practitioner · Portland, OR

NPI number 1114035656 Active

Practice location

2701 NW Vaughn St
Portland, OR 97210-5311

Mailing address

3633 NW 163rd Ter
Beaverton, OR 97006-7245

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAP30004275 (WA)
Adult Health Nurse Practitioner Primary 363LA2200X096006178N3 (OR)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1114035656

Marcia Bertalot, ANP's National Provider Identifier is 1114035656, issued on Aug 25, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Sep 28, 2020.