Provider Demographics
NPI:1023359213
Name:BELLING, CHERI LYNN (FNP)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:LYNN
Last Name:BELLING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9427 SW BARNES RD
Practice Address - Street 2:SUITE 595
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6652
Practice Address - Country:US
Practice Address - Phone:503-216-1150
Practice Address - Fax:503-216-1066
Is Sole Proprietor?:No
Enumeration Date:2013-03-13
Last Update Date:2020-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC196045363LF0000X
NC5006112363LF0000X
OR201404308NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP2379Medicaid
ORP01522458OtherRR MEDICARE (PH&S)
OR500683516Medicaid
NCNCC664AMedicare PIN
SCNP2379Medicaid
ORR180181Medicare PIN