Individual provider · NPI-1

Petra Bahr, RN, BSN

Registered Nurse, Gerontology · Portland, OR

NPI number1013268853
StatusActive
Last updated in NPPESSep 19, 2012

Details

NPI
1013268853
Entity type
Individual (NPI-1)
Name
Ms. Petra Bahr
Credential
RN, BSN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 19, 2012
Last updated
Sep 19, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0600X Registered Nurse, Gerontology082012752RNORYes

Practice location

4531 Se Belmont St
Portland, OR 97215-1675

Phone 503-215-6556 · Fax 503-215-0685

Mailing address

4531 Se Belmont St
Portland, OR 97215-1675

Phone 503-215-6556 · Fax 503-215-0685

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