Individual
ELIZABETH A BEARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201505554NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00288298
—
MS
Enumeration date
04/03/2012
Last updated
07/24/2024
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