Individual
DR. GEOFFREY ENOCHS BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SW SAM JACKSON PARK RD., PORTLAND, OR 97219
(503) 494-8311
Mailing address
PO BOX 40024, PORTLAND, OR 97240-0024
(503) 625-5494
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD 11716
OR
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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