Provider Demographics
NPI:1649307455
Name:ROWLAND, BETHANY SUZANNE (PMHNP)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:SUZANNE
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:ROWLAND
Other - Last Name:FRANCESCHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:4924 NE MULTNOMAH ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2828
Mailing Address - Country:US
Mailing Address - Phone:503-224-5808
Mailing Address - Fax:833-619-1215
Practice Address - Street 1:4924 NE MULTNOMAH ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2828
Practice Address - Country:US
Practice Address - Phone:503-224-5808
Practice Address - Fax:833-619-1215
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR080-044756N6363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health