MEDICARE: MARISA BELL PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP60975936	WA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	202002490NP-PP	OR

General Provider Information

NPI Number	:	1023569381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISA BELL PMHNP-BC

Provider Business Mailing Address
First Line	:	2066 NW IRVING ST STE 3
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-1200
Country	:	US
Telephone Number	:	971-328-1565
Fax Number	:	206-385-7376

Provider Business Practice Location Address
First Line	:	2066 NW IRVING ST STE 3
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97209-1200
Country	:	US
Telephone Number	:	971-328-1565
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2016
Last Update Date	:	01/16/2026

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