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Contact Information

ELIZABETH A BEARDEN, NP
3303 S BOND AVE
PORTLAND, OR97239-4501
 Phone: 503-494-1775
 Fax: 503-494-4749
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ELIZABETH A BEARDEN · (Female)

NPI Number 1407112535
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/03/2012
Last updated 07/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OR License # 201505554NP
  • MS Medicaid 00288298
Hospital affiliation(s)
  • PROVIDENCE MILWAUKIE HOSPITAL - (Acute Care)
    10150 SE 32ND AVENUE
    MILWAUKIE, OR 97222
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER - (Acute Care)
    1500 DIVISION STREET
    OREGON CITY, OR 97045
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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