Active NPIIndividual provider

Bethany Adams, DNP, AGACNP

Nurse Practitioner, Gerontology in Portland, Oregon

NPI Number1053955047
Practice location
4805 NE Glisan St, Portland, OR 97213-2933
Fax
—
Last updated
October 27, 2023

Bethany Adams, DNP, AGACNP is a Nurse Practitioner, Gerontology based in Portland, OR. Bethany Adams, DNP, AGACNP holds the professional credentials of DNP, AGACNP. The NPI number for Bethany Adams, DNP, AGACNP is 1053955047 and holds license No. 201143042RN (OR). The current practice location address is 4805 NE Glisan St, Portland, OR 97213-2933 and the office can be reached by phone at 503-215-2392. The NPI was assigned on November 1, 2019 and the record was last updated in NPPES on October 27, 2023.

●Provider Profile Details

NPI Number
1053955047
Provider Name
Bethany Adams
Credential
DNP, AGACNP
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
No
Enumeration Date
November 1, 2019
Last Update Date
October 27, 2023
Certification Date
October 27, 2023
NPI Status
Active

◉Business Practice Location Address

Address
4805 NE Glisan St
Portland, OR 97213-2933
State
Oregon
ZIP
97213-2933
Country
US
Phone Number
503-215-2392

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✉Business Mailing Address

Address
Po Box 3158
Portland, OR 97208-3158
City
Portland
State
OR
ZIP
97208-3158
Phone Number
503-215-6494

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Registered Nurse163W00000XNo201143042RNOR
Registered Nurse163W00000XNo33673AK
Registered Nurse163W00000XNo828531NV
Nurse Practitioner, Acute Care363LA2100XNo201907743NP-PPOR
Nurse Practitioner, Gerontology363LG0600XNo828531NV
Nurse Practitioner, Gerontology363LG0600XYes201907743NP-PPOR

#Other Provider Identifiers

No legacy or other 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) and holds license No. 201143042RN (OR).

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 at npiregistry.cms.hhs.gov.

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