Individual
PETER J BEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-8185
Mailing address
3617 SW KANAN DR, PORTLAND, OR 97221-3426
(503) 977-1731
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2155
OR
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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