Individual
EMILY BEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 W POWELL BLVD, GRESHAM, OR 97030-6048
(503) 405-9214
Mailing address
3900 W POWELL BLVD, GRESHAM, OR 97030-6048
(503) 405-9214
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
14051
OR
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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