Individual
BETHANY JOY BIVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BSN, RN
Contact information
Practice address
8905 SW NIMBUS AVE STE 300, BEAVERTON, OR 97008-7162
(503) 352-0468
(971) 703-1019
Mailing address
8905 SW NIMBUS AVE STE 300, BEAVERTON, OR 97008-7162
(503) 352-0468
(971) 703-1019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN708461
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201907625NP-PP
OR
Other
Enumeration date
06/19/2019
Last updated
12/12/2025
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