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NPI Code Detail

MEDICARE: DR. BETH ANN RILEY MD

MEDICARE:  DR. BETH ANN RILEY  MD
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
1207V00000XObstetrics & Gynecology PhysicianMD19781OR

General Provider Information

NPI Number : 1922108489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BETH ANN RILEY MD
Provider Business Mailing Address
First Line : 1040 NW 22ND AVE STE 330
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3097
Country : US
Telephone Number : 503-274-9936
Fax Number : 503-274-2660
Provider Business Practice Location Address
First Line : 1040 NW 22ND AVE STE 330
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3097
Country : US
Telephone Number : 503-274-9936
Fax Number : 503-274-2660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 05/09/2018

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Directions to “ DR. BETH ANN RILEY MD” Practice Location

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