NPI 1992256762

Suzanne Bernard

Practitioner Health Maintenance Organization Portland, OR

Practice location

Address: 4531 SE Belmont St, Portland, OR 97215-1675
Phone: (503) 853-9789
Fax: (971) 246-5199

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence L5638 (OR)

Other Health Maintenance Organization providers in Oregon →

Registry record

NPI: 1992256762
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Oct 2016
Record last updated: 17 Oct 2016

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.