NPI 1013268853 · live from the CMS NPI Registry
Petra Bahr, RN, BSN
Registered Nurse, Gerontology in Portland, OR. National Provider Identifier 1013268853, active.
NPI record
| NPI | 1013268853 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Gerontology 163WG0600X |
| Practice location | 4531 Se Belmont St, Portland, OR 97215 |
| Practice phone | 503-215-6556 |
| Enumerated | September 19, 2012 |
| Last updated | September 19, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Gerontology primary | 163WG0600X | 082012752RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.