Individual
ANTONE BETHUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7916 SE FOSTER RD STE 204, PORTLAND, OR 97206-4289
(503) 894-3570
Mailing address
7916 SE FOSTER RD STE 204, PORTLAND, OR 97206-4289
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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