Provider Demographics
NPI:1720183825
Name:PARASKEVA, BETH H (GNP,ANP)
Entity Type:Individual
Prefix:MS
First Name:BETH
Middle Name:H
Last Name:PARASKEVA
Suffix:
Gender:F
Credentials:GNP,ANP
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:H
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:GNP,ANP
Mailing Address - Street 1:5094 NE SADDLE CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6092
Mailing Address - Country:US
Mailing Address - Phone:503-615-8085
Mailing Address - Fax:
Practice Address - Street 1:2701 NW VAUGHN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-5311
Practice Address - Country:US
Practice Address - Phone:503-721-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROR 091006003N4363LA2200X
WAWA AP30006346363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health