Individual
MS. PETRA BAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
4531 SE BELMONT ST, PORTLAND, OR 97215-1675
(503) 215-6556
(503) 215-0685
Mailing address
4531 SE BELMONT ST, PORTLAND, OR 97215-1675
(503) 215-6556
(503) 215-0685
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
082012752RN
OR
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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