Individual
BETHANY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-2392
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201143042RN
OR
163W00000X
Registered Nurse
33673
AK
163W00000X
Registered Nurse
828531
NV
363LA2100X
Acute Care Nurse Practitioner
201907743NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
201907743NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
828531
NV
Other
Enumeration date
11/01/2019
Last updated
10/27/2023
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