BETHANY NANIKALA MATZ

PORTLAND, OR
NPI1952872632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  201810353RN)
Enumeration Date2018-12-06
Last Update Date2018-12-06
Business Address
BETHANY NANIKALA MATZ
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
Mailing Address
BETHANY NANIKALA MATZ
232 NW 6TH AVE ATTN: CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-294-1681