Individual
ROBERT JOHN BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
6536 SE DUKE ST, PORTLAND, OR 97206-6665
(503) 223-2214
Mailing address
6536 SE DUKE ST, PORTLAND, OR 97206-6665
(503) 223-2214
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1805
OR
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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