Organization · Type 2 NPI

Bethlehem LLC

Administrator Registered Nurse · Portland, OR

NPI number 1306613609 Active

Practice location

3347 SE 115th Ave
Portland, OR 97266-1711

Call (425) 365-8290 Map

Fax (503) 265-8529

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XNone listed
Administrator Registered Nurse Primary 163WA2000XNone listed
Point of Service 305S00000XNone listed

Administrator Registered Nurse: Definition to come...

About NPI 1306613609

Bethlehem LLC's National Provider Identifier is 1306613609, issued on Dec 6, 2023. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Portland, OR. The record was last updated on Dec 6, 2023.