Bearden, Elizabeth A

Bearden, Elizabeth A is an individual health care provider with primary practice located at 1111 Ne 99Th Ave Ste 201 , Portland OR 97220-9442. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bearden, Elizabeth A can be contacted via phone (503) 962-1000.

Contact Information

Primary practice address
1111 Ne 99Th Ave Ste 201 Portland OR 97220-9442
Phone: (503) 962-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 201505554NP Oregon

Profile Details

NPI number 1407112535
LBN Legal business name Bearden, Elizabeth A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2012
Last updated Feb 5th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407112535 NPPES
Mississippi MEDICAID 00288298

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