Individual
KENNETH ALAN BEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7001
(541) 881-7186
Mailing address
351 SW 9TH ST, ONTARIO, OR 97914-2639
(541) 881-7001
(541) 881-7186
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
61333271205
UT
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD40242
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807461000
—
ID
Enumeration date
07/10/2006
Last updated
04/17/2009
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