Individual
DAVID JOHN BEATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-3434
Mailing address
18040 NW CHEMEKETA LN, PORTLAND, OR 97229-1779
(971) 226-5190
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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