Individual
DONALD R BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3800 SW CEDAR HILLS BLVD, SUITE 193, BEAVERTON, OR 97005-2027
(503) 330-8632
Mailing address
8531 SW 49TH AVE, PORTLAND, OR 97219-3305
(503) 330-8632
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10951
OR
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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