Individual
DR. STEVEN WAYNE BEADNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11786 SW BARNES RD STE 110, PORTLAND, OR 97225-5926
(503) 924-2323
(503) 601-0569
Mailing address
11786 SW BARNES RD STE 110, PORTLAND, OR 97225-5926
(503) 601-0569
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D5639
OR
Other
Enumeration date
08/08/2006
Last updated
07/17/2007
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