Mcclenathan, Bethany Michelle
Mcclenathan, Bethany Michelle is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Suite 461, Portland OR 97225-6646. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Neurocritical Care. Allopathic & Osteopathic Physicians / Neurocritical Care is her primary health care specialty. Mcclenathan, Bethany Michelle can be contacted via phone (503) 216-1150.Contact Information
Primary practice address
9135 Sw Barnes Rd Suite 461
Portland OR 97225-6646
Phone: (503) 216-1150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 110485 | Alaska |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 36088 | Montana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60518652 | Washington |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A140918 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD167577 | Oregon |
| Allopathic & Osteopathic Physicians / Neurocritical Care | 2084A2900X | MD167577 | Oregon |
Profile Details
| NPI number | 1073759841 |
|---|---|
| LBN Legal business name | Mcclenathan, Bethany Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2008 |
| Last updated | Nov 25th, 2022 - about 3 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 | 1073759841 | NPPES |
| Oregon | MEDICAID | 500605528 | |
| Oregon | Other | P01522460 |
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