Individual
ROBERTA MARIE BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
537 UNION AVE, GRANTS PASS, OR 97527-5543
(541) 507-2170
(541) 507-2171
Mailing address
785 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8343
(707) 464-8818
(707) 464-8848
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201050122NP
OR
363LF0000X
Family Nurse Practitioner
Primary
201050122NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127725
—
OR
Enumeration date
08/29/2009
Last updated
11/18/2021
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