- Practice location
- 1027 E Burnside St, Portland, OR 97214-1328
- Phone
- 503-239-8400
- Fax
- —
- Last updated
- March 9, 2020
Lydia Anne M Bartholow is a Nurse Practitioner, Psych/Mental Health based in Portland, OR. Lydia Anne M Bartholow practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for Lydia Anne M Bartholow is 1790038271 and holds a License No. 201250177NP (OR). The current practice location address for Lydia Anne M Bartholow is 1027 E Burnside St, Portland, OR 97214-1328 and can be reached out via phone at 503-239-8400.
Provider Profile Details
- NPI Number
- 1790038271
- Provider Name
- Lydia Anne M Bartholow
- Credential
- PMHNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1027 E Burnside St, Portland, OR 97214-1328
- Phone Number
- 503-239-8400
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 20, 2012
- Last Update Date
- March 9, 2020
- Certification Date
- March 9, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1027 E Burnside St
Portland, OR 97214-1328 - City
- Portland
- State
- Oregon
- Zip
- 97214-1328
- Phone Number
- 503-239-8400
Provider Business Mailing Address Details
- Address
- 1027 E Burnside St
Portland, OR 97214-1328 - City
- Portland
- State
- OR
- Zip
- 97214-1328
- Phone Number
- 971-202-7774
- Fax Number
- 503-239-8407
License Information
- License Number
- 201250177NP
- License State
- OR
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Lydia Anne M Bartholow, PMHNP?
The NPI number of Lydia Anne M Bartholow, PMHNP is 1790038271. It was assigned on October 20, 2012 and is currently active in the NPPES registry.
What is the specialty of Lydia Anne M Bartholow, PMHNP?
Lydia Anne M Bartholow, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in OR under license number 201250177NP.
Where does Lydia Anne M Bartholow, PMHNP practice?
The practice location is 1027 E Burnside St, Portland, OR 97214-1328. The office can be reached at 503-239-8400 (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 1790038271 directly on the NPPES registry website.