MS. LAURA BETHANY POWELL AGACNP NPI 1740616770

NPI Information

  • NPI: 1740616770
  • Provider Name: MS. LAURA BETHANY POWELL, AGACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3181 SW SAM JACKSON PARK RD
    MAIL CODE SJH-2
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 494-4910

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NPI Details

MS. Laura Bethany Powell, AGACNP is an acute care nurse practitioner in Portland, OR with 13 years of experience. MS. Laura Bethany Powell, AGACNP NPI is 1740616770. 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:

3181 SW SAM JACKSON PARK RD
MAIL CODE SJH-2
PORTLAND, OR
ZIP 97239-011
Phone: (503) 494-4910
Fax: (503) 494-8368

The NPI 1740616770 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Critical care, each additional 30 minutes (HCPCS:99292)

The enumeration date for this NPI number is 9/23/2013 and was last updated on 5/6/2019.

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
1363LC0200XNurse PractitionerCritical Care Medicine232481NORTH CAROLINANo
2363LC0200XNurse PractitionerCritical Care Medicine5006497NORTH CAROLINANo
3363LA2100XNurse PractitionerAcute Care201406086NPOREGONYes

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 Other Provider Identifier Issuer
1NP2550MEDICAIDSOUTH CAROLINA

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: 11/21/2025

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