Individual provider · Type 1 NPI

Bethany Kingsberry, APRN-NP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1770045767 Active

Practice location

5050 NE Hoyt St Ste 610
Portland, OR 97213-2985

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 4140 W Memorial Rd Ste 621, Oklahoma City, OK 73120-8365 · (405) 749-4231

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR0121579 (OK)
Registered Nurse First Assistant 163WR0006XR0121579 (OK)
Nurse Practitioner 363L00000X200647 (OK)
Nurse Practitioner 363L00000X10036936 (OR)
Acute Care Nurse Practitioner 363LA2100X200647 (OK)
Gerontology Nurse Practitioner Primary 363LG0600X10036936 (OR)

Gerontology Nurse Practitioner: Definition to come...

11 other providers at this address

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About NPI 1770045767

Bethany Kingsberry, APRN-NP's National Provider Identifier is 1770045767, issued on Apr 1, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Mar 4, 2025.