Individual
DR. JOSEPH CANFIELD BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7826 SW CAPITOL HWY, PORTLAND, OR 97219-2466
(503) 244-7788
(503) 244-2809
Mailing address
7826 SW CAPITOL HWY, PORTLAND, OR 97219-2466
(503) 244-7788
(503) 244-2809
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1416 ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231122
EYEMED
OR
01
—
3841000
BLUE CROSS
OR
Enumeration date
01/23/2007
Last updated
01/27/2011
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