Individual
JANE E BEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 NW BETHANY BLVD, STE 100, BEAVERTON, OR 97006-5208
(503) 619-1100
(503) 619-1101
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 619-1100
(503) 619-1101
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD13166
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108993
—
OR
Enumeration date
08/11/2006
Last updated
12/17/2007
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