Individual
BETHANY JEAN STAIRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
124 NE 181ST AVE STE 103, PORTLAND, OR 97230-6565
(503) 489-1760
Mailing address
124 NE 181ST AVE STE 103, PORTLAND, OR 97230-6565
(503) 489-1760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19321
CA
Other
Enumeration date
02/19/2010
Last updated
01/14/2019
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