Johnson, Bette T.
Johnson, Bette T. is an individual health care provider with primary practice located at 2500 Neff Rd. St Charles Medical Center, Bend OR 92201-0001. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson, Bette T. can be contacted via phone (541) 706-5675.Contact Information
Primary practice address
2500 Neff Rd. St Charles Medical Center
Bend OR 92201-0001
Phone: (541) 706-5675
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Neonatal | 363LN0000X | RN276756L | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | 200850071NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care | 363LN0005X | RN276756L | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN276756L | Pennsylvania |
Profile Details
NPI number | 1497830574 |
---|---|
LBN Legal business name | Johnson, Bette T. |
Credentials | Advanced Practice Nurse (APN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2006 |
Last updated | Apr 23rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497830574 | NPPES |
New Jersey | MEDICAID | 16225 | |
New Jersey | MEDICAID | 4033701 |
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