Powell, Laura Bethany
Powell, Laura Bethany is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mail Code Sjh-2, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Powell, Laura Bethany can be contacted via phone (503) 494-4910.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Mail Code Sjh-2
Portland OR 97239-3011
Phone: (503) 494-4910
Fax: (503) 494-8368
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 232481 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 5006497 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 201406086NP | Oregon |
Profile Details
NPI number | 1740616770 |
---|---|
LBN Legal business name | Powell, Laura Bethany |
Credentials | AGACNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2013 |
Last updated | May 6th, 2019 - about 5 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 | 1740616770 | NPPES |
South Carolina | MEDICAID | NP2550 |
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