NPI 1972143147 · live from the CMS NPI Registry
Bethany Hinckle
Registered Nurse, Psych/Mental Health, Child & Adolescent in Corvallis, OR. National Provider Identifier 1972143147, active.
NPI record
| NPI | 1972143147 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Psych/Mental Health, Child & Adolescent 163WP0807X |
| Practice location | 4455 Ne Highway 20, Corvallis, OR 97330 |
| Practice phone | 541-758-5900 |
| Mailing address | 3415 Se Powell Blvd, Portland, OR 97202 |
| Enumerated | January 15, 2020 |
| Last updated | January 15, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 201803186RN (OR) |
| Registered Nurse, Psych/Mental Health, Child & Adolescent primary | 163WP0807X | 201803186RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.