IndividualActive
Bethe Mack, LMT
NPI 1033236922 · Health Maintenance Organization · Portland, OR
Provider details
- NPI number
- 1033236922
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11341 (OR)
Specialties & taxonomies
Managed Care Organizations
Practice location
2625 Se Hawthorne Blvd
Portland, OR 97214-2941
Phone: (503) 238-9788
Approximate (ZIP-level) locationGet directions
Mailing address
4428 Ne 74th Ave
Portland, OR 97218
Registry dates
- Enumerated
- 2007-03-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.