Whalio Doctors

NPI 1003086521

Robert Brian Bettencourt, MD

Practitioner Family Medicine Physician Portland, OR

Practice location

Address
11782 SW Barnes Rd STE 300, Portland, OR 97225-5933
Phone
(503) 214-5200
Fax
(503) 906-6613

Registered specialties (5)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD157616 (OR)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence NONE (AL)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 29467 (AL)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 29467 (AL)
Sports Medicine (Family Medicine) Physician
Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence MD157616 (OR)

Registry record

NPI
1003086521
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Mar 2008
Record last updated
3 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.