Individual
DEA BEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
173 NE 102ND AVE, PORTLAND, OR 97220-4169
(360) 823-9280
Mailing address
173 NE 102ND AVE, PORTLAND, OR 97220-4169
(360) 823-9280
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000107980
OR
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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