Individual
MICHEAL J BETTGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
(310) 933-4134
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
3747P1801X
Personal Care Attendant
—
OR
Other
Enumeration date
03/09/2021
Last updated
05/03/2023
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