Individual
PETER TANNAHILL BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19300 SW 65TH, LEGACY MERIDIAN PARK HOSPITAL, TUALATIN, OR 97062-8854
(503) 692-5737
(503) 692-5307
Mailing address
6464 SW BORLAND ROAD, SUITE A4, TUALATIN, OR 97062-8854
(503) 692-5737
(503) 692-5307
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD19626
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085956
—
OR
Enumeration date
12/11/2006
Last updated
07/08/2007
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