| NPI | 1689950586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY SUZANNE ROWLAND Sole Practitioner 503-224-5808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 080-044756N6) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2011-10-25 |