Individual
CAITLYN A BEALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1508 DIVISION ST STE 105, OREGON CITY, OR 97045-1584
(503) 656-0836
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 494-4300
(706) 660-2847
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA199249
OR
Other
Enumeration date
10/04/2018
Last updated
05/21/2021
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