IndividualActive
Marcia Bertalot, ANP
NPI 1114035656 · Adult Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1114035656
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- AP30004275 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2701 Nw Vaughn St
Portland, OR 97210-5311
Phone: (503) 499-5200
Street-level locationGet directions
Mailing address
3633 Nw 163rd Ter
Beaverton, OR 97006-7245
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.