- Practice location
- 4805 NE Glisan St, Portland, OR 97213-2933
- Phone
- 503-215-2392
- Fax
- —
- Last updated
- October 27, 2023
Bethany Adams is a Nurse Practitioner, Gerontology based in Portland, OR. Bethany Adams practices in Portland, OR and has the professional credentials of DNP, AGACNP. The NPI Number for Bethany Adams is 1053955047 and holds a License No. 201143042RN (OR). The current practice location address for Bethany Adams is 4805 NE Glisan St, Portland, OR 97213-2933 and can be reached out via phone at 503-215-2392.
Provider Profile Details
- NPI Number
- 1053955047
- Provider Name
- Bethany Adams
- Credential
- DNP, AGACNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4805 NE Glisan St, Portland, OR 97213-2933
- Phone Number
- 503-215-2392
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 1, 2019
- Last Update Date
- October 27, 2023
- Certification Date
- October 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4805 NE Glisan St
Portland, OR 97213-2933 - City
- Portland
- State
- Oregon
- Zip
- 97213-2933
- Phone Number
- 503-215-2392
Provider Business Mailing Address Details
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- Zip
- 97208-3158
- Phone Number
- 503-215-6494
License Information
- License Number (1)
- 201143042RN
- License State (1)
- OR
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 33673
- License State (2)
- AK
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 828531
- License State (3)
- NV
- Taxonomy (3)
- Registered Nurse · 163W00000X
- License Number (4)
- 201907743NP-PP
- License State (4)
- OR
- Taxonomy (4)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (5)
- 828531
- License State (5)
- NV
- Taxonomy (5)
- Nurse Practitioner, Gerontology · 363LG0600X
- License Number (6)
- 201907743NP-PP
- License State (6)
- OR
- Taxonomy (6)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Bethany Adams, DNP, AGACNP?
The NPI number of Bethany Adams, DNP, AGACNP is 1053955047. It was assigned on November 1, 2019 and is currently active in the NPPES registry.
What is the specialty of Bethany Adams, DNP, AGACNP?
Bethany Adams, DNP, AGACNP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in OR under license number 201143042RN.
Where does Bethany Adams, DNP, AGACNP practice?
The practice location is 4805 NE Glisan St, Portland, OR 97213-2933. The office can be reached at 503-215-2392 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053955047 directly on the NPPES registry website.