Bethoney, Justin Nicholas

Bethoney, Justin Nicholas is an individual health care provider with primary practice located at 151 Sw Shevlin Hixon Dr Ste 102 , Bend OR 97702-3232. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Bethoney, Justin Nicholas can be contacted via phone (458) 206-6251.

Contact Information

Primary practice address
151 Sw Shevlin Hixon Dr Ste 102 Bend OR 97702-3232
Phone: (458) 206-6251
Fax: (224) 215-3993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X RN2264824 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95001312 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201501392NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X RN2264824 Massachusetts

Profile Details

NPI number 1396051637
LBN Legal business name Bethoney, Justin Nicholas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2010
Last updated Jul 1st, 2020 - 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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