IndividualActive
Bethany Kingsberry, APRN-NP
NPI 1770045767 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1770045767
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN-NP
- Sex
- Female
- Sole proprietor
- No
- License
- R0121579 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5050 Ne Hoyt St Ste 610
Portland, OR 97213-2985
Phone: (503) 467-4761
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Additional practice locations (1)
- 4140 W Memorial Rd Ste 621Oklahoma City, OK 73120-8365Phone: (405) 749-4231Fax: (405) 271-4329
Registry dates
- Enumerated
- 2019-04-01
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.