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NPI Code Detail

MEDICARE: BEVERLY M STEWART ARNP

MEDICARE: BEVERLY M STEWART ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP30006817RN00156781WA
2363LF0000XFamily Nurse PractitionerAP30006817RN00156781WA
3363LA2200XAdult Health Nurse PractitionerAP30006817RN00156781WA
4363LW0102XWomen's Health Nurse PractitionerAP30006817RN00156781WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467462580
Entity Type Code : Individual
Provider Name (Legal Business Name) : BEVERLY M STEWART ARNP
Provider Business Mailing Address
First Line : 4545 SW STEPHENSON ST
Second Line :
City : PORTLAND
State : OR
Zip : 97219-7109
Country : US
Telephone Number : 503-293-3122
Fax Number : 503-788-7285
Provider Business Practice Location Address
First Line : 3231 SE 50TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2248
Country : US
Telephone Number : 503-775-4931
Fax Number : 503-788-7285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 05/22/2008

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Directions to “ BEVERLY M STEWART ARNP” Practice Location

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