Individual
BETHANY ANN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1140 SW SIMPSON AVE STE 100, BEND, OR 97702-3789
(541) 388-2333
(541) 388-0930
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(541) 278-4332
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
7756259-1206
UT
363AS0400X
Surgical Physician Assistant
2251
AK
363AS0400X
Surgical Physician Assistant
Primary
PA196112
OR
Other
Enumeration date
09/20/2010
Last updated
07/18/2023
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