Individual provider · Type 1 NPI
Bethany Hinckle
Child & Adolescent Psychiatric/Mental Health Registered Nurse · Corvallis, OR
NPI number
1972143147
Active
Practice location
4455 NE Highway 20
Corvallis, OR 97330-9695
Mailing address
3415 SE Powell Blvd
Portland, OR 97202-3396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 201803186RN (OR) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse Primary | 163WP0807X | 201803186RN (OR) |
Child & Adolescent Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1972143147
Bethany Hinckle's National Provider Identifier is 1972143147, issued on Jan 15, 2020. The primary taxonomy on file is Child & Adolescent Psychiatric/Mental Health Registered Nurse (163WP0807X), and the practice location is in Corvallis, OR. The record was last updated on Jan 15, 2020.