Provider Demographics
NPI:1184921629
Name:DOYLE, BETH ANNE (RN, WHCNP, ANP)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ANNE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:RN, WHCNP, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-3961
Mailing Address - Country:US
Mailing Address - Phone:503-846-8027
Mailing Address - Fax:503-846-4489
Practice Address - Street 1:266 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-3961
Practice Address - Country:US
Practice Address - Phone:503-846-8027
Practice Address - Fax:503-846-4489
Is Sole Proprietor?:No
Enumeration Date:2011-02-18
Last Update Date:2011-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR090000358N3363LA2200X
OR090000358N7363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health