Mr. Justin N Bethoney, NP
Nurse Practitioner, Psych/Mental Health in Bend, Oregon
1396051637- Practice location
- 151 SW Shevlin Hixon Dr Ste 102, Bend, OR 97702-3232
- Phone
- 458-206-6251
- Fax
- 224-215-3993
- Last updated
- July 1, 2020
Mr. Justin N Bethoney, NP is a Nurse Practitioner, Psych/Mental Health based in Bend, OR. Mr. Justin N Bethoney, NP holds the professional credentials of NP. The NPI number for Mr. Justin N Bethoney, NP is 1396051637 and holds license No. RN2264824 (MA). The current practice location address is 151 SW Shevlin Hixon Dr Ste 102, Bend, OR 97702-3232 and the office can be reached by phone at 458-206-6251 and by fax at 224-215-3993. The NPI was assigned on August 24, 2010 and the record was last updated in NPPES on July 1, 2020.
●Provider Profile Details
- NPI Number
- 1396051637
- Provider Name
- Justin Nicholas Bethoney
- Credential
- NP
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Enumeration Date
- August 24, 2010
- Last Update Date
- July 1, 2020
- Certification Date
- July 1, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 151 SW Shevlin Hixon Dr Ste 102
Bend, OR 97702-3232 - City
- Bend
- State
- Oregon
- ZIP
- 97702-3232
- Country
- US
- Phone Number
- 458-206-6251
- Fax Number
- 224-215-3993
✉Business Mailing Address
- Address
- 151 SW Shevlin Hixon Dr Ste 102
Bend, OR 97702-3232 - City
- Bend
- State
- OR
- ZIP
- 97702-3232
- Phone Number
- 458-206-6251
- Fax Number
- 224-215-3993
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Registered Nurse, Psych/Mental Health, Child & Adolescent | 163WP0807X | No | RN2264824 | MA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | No | 95001312 | CA |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | Yes | 201501392NP-PP | OR |
| Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | 364SP0807X | No | RN2264824 | MA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Mr. Justin N Bethoney, NP?
The NPI number of Mr. Justin N Bethoney, NP is 1396051637. It was assigned on August 24, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Justin N Bethoney, NP?
Mr. Justin N Bethoney, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X) and holds license No. RN2264824 (MA).
Where does Mr. Justin N Bethoney, NP practice?
The practice location is 151 SW Shevlin Hixon Dr Ste 102, Bend, OR 97702-3232. The office can be reached at 458-206-6251 (phone) or 224-215-3993 (fax).
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 1396051637 directly on the NPPES registry website at npiregistry.cms.hhs.gov.