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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1740616770 NPPES
South Carolina MEDICAID NP2550

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