Individual
RITA M. BETTENBURG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
10360 NE WASCO ST, PORTLAND, OR 97220-3927
(503) 252-8125
Mailing address
2506 NE 93RD AVE, PORTLAND, OR 97220-4375
(503) 257-3618
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
707
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009790
—
OR
Enumeration date
11/08/2005
Last updated
03/07/2023
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