- Practice location
- 2701 NW Vaughn St, Portland, OR 97210-5311
- Phone
- 503-499-5200
- Fax
- —
- Last updated
- September 28, 2020
Marcia Bertalot is a Nurse Practitioner, Adult Health based in Portland, OR. Marcia Bertalot practices in Portland, OR and has the professional credentials of ANP. The NPI Number for Marcia Bertalot is 1114035656 and holds a License No. AP30004275 (WA). The current practice location address for Marcia Bertalot is 2701 NW Vaughn St, Portland, OR 97210-5311 and can be reached out via phone at 503-499-5200.
Provider Profile Details
- NPI Number
- 1114035656
- Provider Name
- Marcia Bertalot
- Credential
- ANP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2701 NW Vaughn St, Portland, OR 97210-5311
- Phone Number
- 503-499-5200
- Primary Taxonomy
- Nurse Practitioner, Adult Health · 363LA2200X
- Sole Proprietor
- No
- Other Names
- -- Marcia Gove, ANP (Former Name)
- Provider Enumeration Date
- August 25, 2006
- Last Update Date
- September 28, 2020
- Certification Date
- September 28, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2701 NW Vaughn St
Portland, OR 97210-5311 - City
- Portland
- State
- Oregon
- Zip
- 97210-5311
- Phone Number
- 503-499-5200
Provider Business Mailing Address Details
- Address
- 3633 NW 163RD Ter
Beaverton, OR 97006-7245 - City
- Beaverton
- State
- OR
- Zip
- 97006-7245
- Phone Number
- 503-645-1517
License Information
- License Number (1)
- AP30004275
- License State (1)
- WA
- Taxonomy (1)
- Nurse Practitioner, Adult Health · 363LA2200X
- License Number (2)
- 096006178N3
- License State (2)
- OR
- Taxonomy (2)
- Nurse Practitioner, Adult Health · 363LA2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Adult Health providers near Portland, OR
View all Nurse Practitioner, Adult Health providers in Portland →- Ms. Lakshi M Aldredge, NPNurse Practitioner, Adult Health · NPI 1003920109
- Nancy L Allison, ANPNurse Practitioner, Adult Health · NPI 1124095963
- Prof. Mary K Crabtree, DNSC, ANP, PROFESSONurse Practitioner, Adult Health · NPI 1366497281
- Stephen Allred III, NPNurse Practitioner, Adult Health · NPI 1558496158
Frequently Asked Questions
What is the NPI number of Marcia Bertalot, ANP?
The NPI number of Marcia Bertalot, ANP is 1114035656. It was assigned on August 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Marcia Bertalot, ANP?
Marcia Bertalot, ANP is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in WA under license number AP30004275.
Where does Marcia Bertalot, ANP practice?
The practice location is 2701 NW Vaughn St, Portland, OR 97210-5311. The office can be reached at 503-499-5200 (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 1114035656 directly on the NPPES registry website.