Provider Demographics
NPI:1942505193
Name:FRANKLIN-COMB, BETHANY (PHD)
Entity Type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:
Last Name:FRANKLIN-COMB
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:BETHANY
Other - Middle Name:
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:4660 NE BELKNAP CT STE 201G
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-8405
Mailing Address - Country:US
Mailing Address - Phone:503-902-9088
Mailing Address - Fax:
Practice Address - Street 1:4660 NE BELKNAP CT STE 201G
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124
Practice Address - Country:US
Practice Address - Phone:503-902-9088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2384103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical