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Individual

BETHANY ANNE ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8710 PARKER RD, INDEPENDENCE, OR 97351-9779
(503) 420-9196
Mailing address
8710 PARKER RD, INDEPENDENCE, OR 97351-9779
(503) 420-9196

Taxonomy

Speciality
Code
Description
License number
State
163WP1700X
Perinatal Registered Nurse
Primary
201800559
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201800559
OREGON BOARD OF NURSING
OR
01
95165373
CALIFORNIA BOARD OF NURSING
CA
Enumeration date
12/15/2021
Last updated
12/15/2021
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