Individual
CYNTHIA MARIA BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9427 SW BARNES RD, STE 390, PORTLAND, OR 97225-6652
(503) 216-1280
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200350076NP
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
200350076NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
272627
—
OR
Enumeration date
03/25/2008
Last updated
02/05/2021
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