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Contact Information

BETHLEHEM LLC
3347 SE 115TH AVE
PORTLAND, OR97266-1711
 Phone: 425-365-8290
 Fax: 503-265-8529
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Administrator

163WA2000X
 

Point of Service

305S00000X
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for BETHLEHEM LLC

NPI Number 1306613609
LBN Legal business name BETHLEHEM LLC
Authorized official TIGIST SEWOYA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2023
Last updated 12/06/2023 - About 2 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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