Individual
MEGAN MARIE BEAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
13665 SW TRACY PL, TIGARD, OR 97223-5659
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10021407
OR
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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