Individual
DOUGLAS LEE BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
6342 NE 32ND PL, PORTLAND, OR 97211-6631
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
087003278N3
OR
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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