Bethlehem LLC

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

Legal business name

BETHLEHEM LLC

Practice address

3347 SE 115TH Ave
Portland, OR 97266-1711

Phone

(425) 365-8290

Fax

(503) 265-8529

NPI assigned

Dec 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tigist Sewoya, RN

Title

Owner

Phone

(425) 365-8290

Specialties & licenses 3

Addresses

Other names 1

• Bethlehem AFH Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1306613609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 SE 115TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661711",
            "telephone_number": "425-365-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 SE 115TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661711",
            "telephone_number": "425-365-8290",
            "fax_number": "503-265-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "SEWOYA",
        "authorized_official_first_name": "TIGIST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-365-8290",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethlehem AFH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Administrator Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Administrator Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.