Healthcare Provider Details

I. General information

NPI: 1932025590
Provider Name (Legal Business Name): BETHANY CORINNE ADAMS NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2735 1ST ST
BAKER CITY OR
97814-2008
US

IV. Provider business mailing address

2735 1ST ST
BAKER CITY OR
97814-2008
US

V. Phone/Fax

Practice location:
  • Phone: 503-481-7584
  • Fax:
Mailing address:
  • Phone: 503-481-7584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License NumberA-3783637
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: