BETHANY JOHANNA COLLINS

PORTLAND, OR
NPI1447781133
Former NameBETHANY JOHANNA RIST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: OR  MD188034)
Additional Taxonomies207R00000X Internal Medicine
(Licence: OR  MD188034)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: OR  MD188034)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2017-03-23
Last Update Date2023-06-29
Business Address
BETHANY JOHANNA COLLINS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
Mailing Address
BETHANY JOHANNA COLLINS
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211