Individual
LAUREL BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(971) 244-5300
Mailing address
1535 N WILLIAMS AVE, PORTLAND, OR 97227-1885
(971) 244-5300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201507252RN
OR
Other
Enumeration date
04/03/2016
Last updated
04/03/2016
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