Individual provider · Type 1 NPI

Bearnard Roeder

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1578428744 Active

Practice location

6011 NE Oregon St
Portland, OR 97213-4300

Call (971) 319-4827 Map

Mailing address

9133 N Allegheny Ave
Portland, OR 97203-2303

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1578428744

Bearnard Roeder's National Provider Identifier is 1578428744, issued on Dec 19, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Dec 19, 2025.