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1952872632
BETHANY NANIKALA MATZ
PORTLAND, OR
NPI
1952872632
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201810353RN)
Enumeration Date
2018-12-06
Last Update Date
2018-12-06
Business Address
BETHANY NANIKALA MATZ
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 503-238-2067
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Mailing Address
BETHANY NANIKALA MATZ
232 NW 6TH AVE ATTN: CREDENTIALING
PORTLAND, OR 97209
Phone number: 503-294-1681
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