BEVERLY M STEWART ARNP NPI 1467462580

NPI Information

NPI: 1467462580
Provider Name: BEVERLY M STEWART, ARNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
3231 SE 50TH AVE
PORTLAND, OR
ZIP 97206
Phone: (503) 775-4931
Get Directions

Beverly M Stewart, ARNP is a family nurse practitioner in Portland, OR. Beverly M Stewart, ARNP NPI is 1467462580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3231 SE 50TH AVE
PORTLAND, OR
ZIP 97206-248
Phone: (503) 775-4931
Fax: (503) 788-7285

The enumeration date for this NPI number is 8/9/2006 and was last updated on 5/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		AP30006817RN00156781	WASHINGTON	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP30006817RN00156781	WASHINGTON	No
3	363LW0102X	Nurse Practitioner	Women's Health	AP30006817RN00156781	WASHINGTON	No
4	363LF0000X	Nurse Practitioner	Family	AP30006817RN00156781	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	S88639	MEDICARE UPIN	WASHINGTON
2	9642380	MEDICAID	WASHINGTON
3	G8850320	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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