Bettencourt, Robert Brian

Bettencourt, Robert Brian is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300 , Portland OR 97225-5933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bettencourt, Robert Brian can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X NONE Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29467 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 29467 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD157616 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD157616 Oregon

Profile Details

NPI number 1003086521
LBN Legal business name Bettencourt, Robert Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Jun 3rd, 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 1003086521 NPPES
Oregon MEDICAID 5006514641
Oregon Other MD157616

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