NPIMap

Organization Active NPI

Bethany Rowland Pmhnp

  • Psychiatric/Mental Health Nurse Practitioner
  • Portland, OR
National Provider Identifier
1689950586
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
080-044756N6 Issued in OR
Legal business name
BETHANY ROWLAND PMHNP
Practice address
921 SW Washington St
Suite 812
Portland, OR 97205-2827
Phone
(503) 224-5808
Fax
(503) 916-8181
NPI assigned
Oct 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Authorized official

Name
Bethany Suzanne Rowland, PMHNPNPI 1649307455
Title
Sole Practitioner
Phone
(503) 224-5808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 080-044756N6 OR Primary

Addresses

Primary practice location

921 SW Washington St
Suite 812
Portland, OR 97205-2827

Mailing address

921 SW Washington St
Suite 812
Portland, OR 97205-2827
Phone (503) 224-5808

Other identifiers 1

IdentifierTypeStateIssuer
1649307455OtherTYPE I NPI

National Provider Directory

National Provider Directory

Locations

921 SW Washington St
Ste 812
Portland, OR 97205
Phone (503) 224-5808

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1689950586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON ST",
            "address_2": "SUITE 812",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052827",
            "telephone_number": "503-224-5808",
            "fax_number": "503-916-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 SW WASHINGTON ST",
            "address_2": "SUITE 812",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972052827",
            "telephone_number": "503-224-5808",
            "fax_number": "503-916-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY ROWLAND PMHNP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "SOLE PRACTITIONER",
        "authorized_official_telephone_number": "503-224-5808",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "080-044756N6",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1649307455",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.