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Individual

DR. DOUGLAS NEAL BEAMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
501 N GRAHAM ST, SUITE 250, PORTLAND, OR 97227
(503) 249-0719
Mailing address
501 N GRAHAM ST STE 250, PORTLAND, OR 97227-1651
(503) 249-0719
(503) 249-0749

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD19491
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500400380
OR
Enumeration date
09/14/2006
Last updated
07/10/2018
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