Provider Demographics
NPI:1235573767
Name:FLORES, BETHEL MAY (ND)
Entity Type:Individual
Prefix:
First Name:BETHEL
Middle Name:MAY
Last Name:FLORES
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 NE AUTUMNWOOD TER
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7944
Mailing Address - Country:US
Mailing Address - Phone:971-227-8247
Mailing Address - Fax:
Practice Address - Street 1:272 NE AUTUMNWOOD TER
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-7944
Practice Address - Country:US
Practice Address - Phone:971-227-8247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-26
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1956175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath