Organization
BETHANY ROWLAND PMHNP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY SUZANNE ROWLAND PMHNP (SOLE PRACTITIONER)
(503) 224-5808
Entity
Organization
Contact information
Practice address
921 SW WASHINGTON ST, SUITE 812, PORTLAND, OR 97205-2827
(503) 224-5808
(503) 916-8181
Mailing address
921 SW WASHINGTON ST, SUITE 812, PORTLAND, OR 97205-2827
(503) 224-5808
(503) 916-8181
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
080-044756N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649307455
TYPE I NPI
—
Enumeration date
10/25/2011
Last updated
10/25/2011
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