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Individual

KATHRYN JEAN BEANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, RD

Contact information

Practice address
1500 DIVISION ST STE 220, OREGON CITY, OR 97045-1527
(503) 513-1900
Mailing address
1500 DIVISION ST STE 220, OREGON CITY, OR 97045-1527

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1072873
CA
363A00000X
Physician Assistant
Primary
PA227661
OR
363AM0700X
Medical Physician Assistant
PA59588
CA

Other

Enumeration date
07/23/2017
Last updated
04/03/2026
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