Individual
MR. KENNETH JOHN BEELER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.M.
Contact information
Practice address
500 N 11TH ST, SAINT HELENS, OR 97051-1016
(503) 307-5690
Mailing address
500 N 11TH ST, SAINT HELENS, OR 97051-1016
(503) 307-5690
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
24-CRM-2970
OR
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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