Individual
KATHERINE BEAUMONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1112
(503) 775-4931
Mailing address
6830 SW 26TH AVE APT 25, PORTLAND, OR 97219-1989
(408) 515-5171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201392835RN
OR
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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