Individual
MS. KAY ROBERT BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-5015
Mailing address
2934 NE 53RD AVE, PORTLAND, OR 97213-2438
(503) 281-1140
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30004294
WA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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