Active NPIIndividual provider

Mary Beth Bush

Counselor, Mental Health in Beaverton, Oregon

NPI Number1639311418
Practice location
12350 SW 5TH St Ste 110, Beaverton, OR 97005-2819
Fax
503-627-9095
Last updated
March 25, 2009

Mary Beth Bush is a Counselor, Mental Health based in Beaverton, OR. Mary Beth Bush practices in Beaverton, OR. The NPI Number for Mary Beth Bush is 1639311418. The current practice location address for Mary Beth Bush is 12350 SW 5TH St Ste 110, Beaverton, OR 97005-2819 and can be reached out via phone at 503-627-9194 and via fax at 503-627-9095.

Provider Profile Details

NPI Number
1639311418
Provider Name
Mary Beth Bush
Provider Entity Type
Individual
Gender
Female
Address
12350 SW 5TH St Ste 110, Beaverton, OR 97005-2819
Phone Number
503-627-9194
Fax Number
503-627-9095
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2009
Last Update Date
March 25, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
12350 SW 5TH St Ste 110
Beaverton, OR 97005-2819
State
Oregon
Zip
97005-2819
Phone Number
503-627-9194
Fax Number
503-627-9095
Beaverton, OR 97005Get directions →

Provider Business Mailing Address Details

Address
12350 SW 5TH St Ste 110
Beaverton, OR 97005-2819
City
Beaverton
State
OR
Zip
97005-2819
Phone Number
503-627-9194
Fax Number
503-627-9095

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mary Beth Bush?

The NPI number of Mary Beth Bush is 1639311418. It was assigned on March 25, 2009 and is currently active in the NPPES registry.

What is the specialty of Mary Beth Bush?

Mary Beth Bush is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Mary Beth Bush practice?

The practice location is 12350 SW 5TH St Ste 110, Beaverton, OR 97005-2819. The office can be reached at 503-627-9194 (phone) or 503-627-9095 (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 1639311418 directly on the NPPES registry website.

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