Individual
BEAU RAPPAPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
2901 E BURNSIDE ST, PORTLAND, OR 97214-1831
(503) 867-9177
Mailing address
6502 SW 21ST AVE, PORTLAND, OR 97239-1916
(503) 867-9177
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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